PC Stiff MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35041672 Issued in OH

Legal business name

PC STIFF MD INC

Practice address

3949 Sunforest CT
Suite 204
Toledo, OH 43623-4473

Phone

(419) 292-0839

Fax

(419) 292-0883

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Philip C Stiff Jr., MD

Title

Owner

Phone

(419) 292-0839

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1699077149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 204",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-292-0839",
            "fax_number": "419-292-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 204",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-292-0839",
            "fax_number": "419-292-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC STIFF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "STIFF",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-292-0839",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35041672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie A Payne, LPCC LLCDC LSW
• Lindsey Payne
• Nicole Marie Payne, MD
• Deanna Payton, LPN
• Alexander Payvandi, DO
• Pdi Toledo, LLC
• Genna Peace, NP
• Keajsa Peace
• Mariah Peace
• Marisha Latoya Peace

• Internal Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.