Individual provider Active NPI

Patricia Lynn Stofiel, AU. D., CCC-A, ABAC

  • Audiologist
  • Twinsburg, OH
National Provider Identifier
1447721238
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02208 Issued in OH
Practice address
10812 Ravenna Rd
Twinsburg, OH 44087-1016
Phone
(330) 405-0550
NPI assigned
Dec 6, 2018
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02208 OH Primary

Addresses

Primary practice location

10812 Ravenna Rd
Twinsburg, OH 44087-1016

Mailing address

10812 Ravenna Rd
Twinsburg, OH 44087-1016
Phone (330) 405-0550

Other names 1

  • Miss Patricia Lynn Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pstofiel@mylifehearing.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120001085 OH Practitioner - Qualified Audiologist 5698146124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.02208OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Hearing and Balance LLC Audiologist CurrentSince Dec 5, 2022 Accepting new patients
Rajesh Saraiya MD PC Inc PastSince Feb 21, 2021 Accepting new patients

Locations

10812 Ravenna Rd
Twinsburg, OH 44087
Phone (330) 405-0550

10816 Ravenna Rd
Twinsburg, OH 44087
Phone (330) 405-0550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1447721238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10812 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871016",
            "telephone_number": "330-405-0550",
            "fax_number": "234-212-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871016",
            "telephone_number": "330-405-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFIEL",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU. D., CCC-A, ABAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstofiel@mylifehearing.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10812 Ravenna Rd",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440871016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.