Individual provider Active NPI

Eric M. Stemmer, D.O.

  • Family Medicine Physician
  • Upper Sandusky, OH
National Provider Identifier
1336140342
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.005437 Issued in OH
Practice address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone
(419) 294-2773
Fax
(419) 294-6777
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.005437 OH Primary

Addresses

Primary practice location

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-2773

Other identifiers 2

IdentifierTypeStateIssuer
0888311MedicaidOH
000000218349OtherANTHEM BC/BS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220427000777 OH Practitioner - Family Practice 1759520919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5437OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Apr 4, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8270

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1336140342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-2773",
            "fax_number": "419-294-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-2773",
            "fax_number": "419-294-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMMER",
        "first_name": "ERIC",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.005437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0888311",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000218349",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.