Individual provider Active NPI

Sarah Campbell Stierman, M.D.

  • Dermatology Physician
  • Perrysburg, OH
National Provider Identifier
1649447731
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35093001 Issued in OH
Practice address
12780 Roachton Rd # 1
Perrysburg, OH 43551-1350
Phone
(419) 872-0777
NPI assigned
May 8, 2008
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35093001 OH Primary

Addresses

Primary practice location

12780 Roachton Rd # 1
Perrysburg, OH 43551-1350

Mailing address

12780 Roachton Rd # 1
Perrysburg, OH 43551-1350
Phone (419) 872-0777

Other identifiers 2

IdentifierTypeStateIssuer
3145724MedicaidOH
H002160OtherOHMEDICARE PTAN

Other names 1

  • Sarah Campbell Tallman Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000130 OH Practitioner - Dermatology 7719165117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Toledo Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates IncGroup PAC ID 7113092917, 14 clinicians

Practice addresses (Care Compare)

12780 Roachton Rd
Perrysburg, OH 43551-1350
Phone (419) 872-0777

3141 Central Park W
Toledo, OH 43617-1083
Phone (419) 872-0777

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as group
Quality
82.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions425
Skin biopsy88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35093001OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Dec 1, 2011 Accepting new patients
Dermatology Associates Inc Dermatology CurrentSince Aug 1, 2012 Accepting new patients

Locations

2830 Victory Pkwy
Ste LL30
Cincinnati, OH 45206
Phone (513) 245-3637

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

12780 Roachton Rd
Perrysburg, OH 43551
Phone 4198720777107

12780 Roachton Rd
#1
Perrysburg, OH 43551
Phone 4198720777 ext. 107

12780 Roachton Rd
Ste 1
Perrysburg, OH 43551

3141 Central Park W
Toledo, OH 43617

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1649447731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON RD # 1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511350",
            "telephone_number": "419-872-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON RD # 1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511350",
            "telephone_number": "419-872-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIERMAN",
        "first_name": "SARAH",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35093001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145724",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H002160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TALLMAN",
            "middle_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.