Active NPI
Howard G. Stierwalt, M.D.
- Family Medicine Physician
- Fremont, OH
National Provider Identifier
1568441798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-042297
- Practice address
- 2575 Hayes Ave
Suite 3
Fremont, OH 43420-5201 - Phone
- (419) 332-7371
- Fax
- (419) 332-7989
- NPI assigned
- Jan 16, 2006
- Last updated
- Jun 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-042297 | OH | Primary |
Addresses
Primary practice location
2575 Hayes Ave
Suite 3
Fremont, OH 43420-5201
Mailing address
2575 Hayes Ave
Suite 3
Fremont, OH 43420-5201
Phone (419) 332-7371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0431152 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-042297 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1568441798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 HAYES AVE",
"address_2": "SUITE 3",
"city": "FREMONT",
"state": "OH",
"postal_code": "434205201",
"telephone_number": "419-332-7371",
"fax_number": "419-332-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 HAYES AVE",
"address_2": "SUITE 3",
"city": "FREMONT",
"state": "OH",
"postal_code": "434205201",
"telephone_number": "419-332-7371",
"fax_number": "419-332-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIERWALT",
"first_name": "HOWARD",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-042297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0431152",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.