John Clifton Stadnik, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35068198 Issued in OH

Practice address

4440 Red Bank Rd
Suite 110
Cincinnati, OH 45227-2176

Phone

(513) 564-1366

Fax

(513) 564-1367

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Qualified Emergency Specialists Inc

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1700872728
  NPD (past)
• The Christ Hospital Medical Associates, LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1114107919

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1316942923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD",
            "address_2": "SUITE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272176",
            "telephone_number": "513-564-1366",
            "fax_number": "513-564-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD",
            "address_2": "SUITE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272176",
            "telephone_number": "513-564-1366",
            "fax_number": "513-564-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNIK",
        "first_name": "JOHN",
        "middle_name": "CLIFTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35068198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462130",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64085319",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin M.W. Stackpole, M.D.
• Stacy C Osborne
• Adam Stacy, CDCA
• Elizabeth S Stacy, PHARMD, BCPS
• Stadium Open MRI, LLC
• Lyndsey Stadsklev, MOTR/L
• Dawn D Staehling, MD
• John Alan Stafford, M.D.
• Sarah Stafford
• Megan E Stagge, OCPSA

• Emergency Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.