Active NPI
Emma Katherine Staley, DO
- Pediatrics Physician
- Mentor, OH
National Provider Identifier
1588359038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34.018664
- Practice address
- 9485 Mentor Ave Ste 101
Mentor, OH 44060-8722 - Phone
- (440) 205-5800
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34.018664 | OH | Primary |
Addresses
Primary practice location
9485 Mentor Ave Ste 101
Mentor, OH 44060-8722
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Other practice location 1
1 Perkins Sq
Akron, OH 44308-1063
Phone (330) 543-3385
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.018664 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1588359038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9485 MENTOR AVE STE 101",
"city": "MENTOR",
"state": "OH",
"postal_code": "440608722",
"telephone_number": "440-205-5800"
}
],
"practiceLocations": [
{
"address_1": "1 Perkins Sq",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443081063",
"country_code": "US",
"telephone_number": "330-543-3385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STALEY",
"first_name": "EMMA",
"middle_name": "KATHERINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.018664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.