Active NPI
Larry A Stern, MD
- Vascular Surgery Physician
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35054753S
- Practice address
- 1685 Cleveland Rd Ste 102
Wooster, OH 44691-2335 - Phone
- (330) 263-8750
- Fax
- (330) 263-8752
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35054753S | OH | |
| Vascular Surgery Physician | 2086S0129X | 35054753S | OH | Primary |
Addresses
Primary practice location
1685 Cleveland Rd Ste 102
Wooster, OH 44691-2335
Mailing address
3540 Burbank Rd # 127
Wooster, OH 44691-8539
Phone (330) 465-4429
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000222078 | Other | ANTHEM BC/BS | |
| 0167055 | Medicaid | OH | |
| 020556806 | Other | OH | WORKERS COMPENSATION |
| 020556806LS | Other | SUMMACARE INC | |
| L0167055 | Medicaid | OH | |
| 020052952 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Ohio State University College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1685 Cleveland Rd
Suite 102
Wooster, OH 44691-2335
Phone (330) 263-8750
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 229 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35054753S | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Wayne County, LLC | Surgery | Current | Accepting new patients |
| A Jay Raimonde MD LLC | Surgery | Past | Accepting new patients |
Locations
2317 Gateway Dr
Apt C
Wooster, OH 44691
Phone (330) 262-0081
2200 Benden Dr
Ste 8
Wooster, OH 44691
Phone (330) 262-7272
1685 Cleveland Rd
Ste 102
Wooster, OH 44691
Phone (330) 263-8750
3540 Burbank Rd
Wooster, OH 44691
Phone (330) 331-6200
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
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.
-
- Vascular Surgery Physician
- Wooster, OH
- NPI 1952432551
-
- Surgery Physician
- Monclova, OH
- NPI 1720279896
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wooster, OH
- NPI 1437156247
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1437151388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 BURBANK RD # 127",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446918539",
"telephone_number": "330-465-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 CLEVELAND RD STE 102",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912335",
"telephone_number": "330-263-8750",
"fax_number": "330-263-8752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "LARRY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35054753S",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35054753S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000222078",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167055",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "020556806",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE INC",
"identifier": "020556806LS",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L0167055",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020052952",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.