Active NPI
Gregory S Stockfish, D.P.M.,F.A.C.F.A.S
- Podiatrist
- Westerville, OH
National Provider Identifier
1508858515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002387
- Practice address
- 575 Copeland Mill Rd
Suite 2F
Westerville, OH 43081-8977 - Phone
- (614) 891-2828
- Fax
- (614) 891-5411
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36002387 | OH | Primary |
Addresses
Primary practice location
575 Copeland Mill Rd
Suite 2F
Westerville, OH 43081-8977
Mailing address
575 Copeland Mill Rd
Suite 2F
Westerville, OH 43081-8977
Phone (614) 891-2828
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0707702 | Medicaid | OH | |
| 311795350030 | Other | OH | CARESOURCE |
| 000000211119 | Other | OH | ANTHEM |
| 4649800001 | Other | OH | ADMINASTAR |
| 4778110001 | Other | OH | ADMINASTAR |
| 030507736028 | Other | OH | CARESOURCE |
| 480035261 | Other | OH | RAILROAD MEDICARE |
| 000000273180 | Other | OH | ANTHEM |
| 480032425 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002387 | OH | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1508858515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 COPELAND MILL RD",
"address_2": "SUITE 2F",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818977",
"telephone_number": "614-891-2828",
"fax_number": "614-891-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 COPELAND MILL RD",
"address_2": "SUITE 2F",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818977",
"telephone_number": "614-891-2828",
"fax_number": "614-891-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKFISH",
"first_name": "GREGORY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.P.M.,F.A.C.F.A.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0707702",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311795350030",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000211119",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINASTAR",
"identifier": "4649800001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINASTAR",
"identifier": "4778110001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "030507736028",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480035261",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000273180",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480032425",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.