Individual provider Active NPI

Frank G Stoddard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Massillon, OH
National Provider Identifier
1508889130
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3130 Issued in OH
Practice address
830 Amherst Rd NE
Suite 104
Massillon, OH 44646-8518
Phone
(330) 833-3668
Fax
(330) 833-2267
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3130 OH Primary

Addresses

Primary practice location

830 Amherst Rd NE
Suite 104
Massillon, OH 44646-8518

Mailing address

830 Amherst Rd NE
Suite 104
Massillon, OH 44646-8518
Phone (330) 833-3668

Other identifiers 1

IdentifierTypeStateIssuer
2135657MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071218000469 OH Practitioner - Podiatry 1951491620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

934 Amherst Rd NE
Massillon, OH 44646-4568
Phone (330) 833-3668

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions11
Removal of nail tissue420
Removal or shaving of skin growth119
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3130OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc CurrentSince Aug 17, 2019 Accepting new patients
Mobile Medical, Inc. CurrentSince Aug 17, 2019 Accepting new patients
Massillon Foot & Ankle Clinic, Inc CurrentSince Jan 1, 2000 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

934 Amherst Rd NE
Massillon, OH 44646
Phone (330) 833-3668

1555 Amherst Rd NE
Massillon, OH 44646
Phone (330) 833-3668

830 Amherst Rd NE
Ste 104
Massillon, OH 44646
Phone (330) 830-6925

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Interoperability endpoints

  • Direct secure messaging: frank.stoddard.p19@direct.360care.nextgenshare.com

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1508889130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 AMHERST RD NE",
            "address_2": "SUITE 104",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468518",
            "telephone_number": "330-833-3668",
            "fax_number": "330-833-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AMHERST RD NE",
            "address_2": "SUITE 104",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468518",
            "telephone_number": "330-833-3668",
            "fax_number": "330-833-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "FRANK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "3130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.