Sonja R Stiller, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

350745225 Issued in OH

Practice address

7200 Mentor Ave
Mentor, OH 44060-7522

Phone

(440) 710-1140

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular SurgeryAlso: Emergency Medicine

Education

Medical College of Pennsylvania, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sstiller219918@ehrdirect.uhhospitals.org
• FHIR API: https://api.platform.athenahealth.com/20605/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Advanced Vein Care LLC

  • Emergency Medicine Physician
  • Mentor, OH
  • NPI 1477979391
  Medicare reassignment Authorized official
• Emergency Medicine Physicians of Medina County, LTD

  • Emergency Medicine Physician
  • Lodi, OH
  • NPI 1457390312
  NPD (past)
• Emergency Medicine Physicians of Stark County, LTD

  • Emergency Medicine Physician
  • Massillon, OH
  • NPI 1902846371
  NPD (past)
• Emergency Medicine Physicians of Wadsworth, LTD.

  • Emergency Medicine Physician
  • Wadsworth, OH
  • NPI 1184663114
  NPD (past)
• Ues Geauga, LLC

  • Emergency Medicine Physician
  • Chardon, OH
  • NPI 1841242997
  NPD (past)
• University Emergency Specialists of Bedford LLC

  • Emergency Medicine Physician
  • Bedford, OH
  • NPI 1760434781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1316922255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-710-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-710-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLER",
        "first_name": "SONJA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "OH",
            "license": "350745225",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35074522S",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074464",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Stewart, MSSA, LISW
• Lahemma Stewart
• Melinda Stewart
• Sherry Lynn Stewart, APRN
• Angel Stidham
• Magdalene Marie Stimac, RPH
• Thomas Michael Stitts, MOT
• Johnelle Mae Stoika
• Donna Marie Stokes
• Karl Steven Stoler, O.D.

• Phlebology Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Phlebology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.