Marvin D Stalter, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35-076325 Issued in OH

Practice address

12306 County Road E 35
Bryan, OH 43506-2409

Phone

(419) 630-0491

Fax

(419) 630-0491

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Emergency Medicine

Education

Medical College of Ohio, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
• Med1Care, LLC Home health agency, Findlay, OH, CCN 368362
• Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
• Memorial Hospital Hospital, Fremont, OH, CCN 360156

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
• Direct secure messaging: mstalter32089@nomshealthcare.direct-ci.com

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.

• Northern Ohio Medical Specialists LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1225085855

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Hles of Ohio, Inc.

  • Emergency Medicine Physician
  • Wauseon, OH
  • NPI 1679806301
  Medicare reassignment NPD
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Medicare reassignment NPD
• Williams Emergency Group, LLC

  • Emergency Medicine Physician
  • Bryan, OH
  • NPI 1609334556
  Medicare reassignment NPD
• Hles of Ohio Inc

  • Emergency Medicine Physician
  • East Liverpool, OH
  • NPI 1487380770
  NPD
• Hles of Ohio Inc

  • Emergency Medicine Physician
  • Coshocton, OH
  • NPI 1508301623
  NPD
• Northern Ohio Medical Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lorain, OH
  • NPI 1952281511
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Med1Care, LLC

  • Home Health Agency
  • Findlay, OH
  • NPI 1306057153
  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Fremont, OH
  • NPI 1851338149
  Care Compare affiliation
• Ohioans Home Healthcare, Inc

  • Home Health Agency
  • Perrysburg, OH
  • NPI 1093836546
  Care Compare affiliation
• The Bellevue Hospital

  • General Acute Care Hospital
  • Bellevue, OH
  • NPI 1134161623
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1700817194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 COUNTY ROAD E35",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435068309",
            "telephone_number": "419-630-0491",
            "fax_number": "419-630-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12306 COUNTY ROAD E 35",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435062409",
            "telephone_number": "419-630-0491",
            "fax_number": "419-630-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALTER",
        "first_name": "MARVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-076325",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-076325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080161175",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Spangler, LMT
• Jordan Spiess, OD
• Shannon Sprague, LMT
• Square North Practice
• Hardev S Sroa, MD
• Katherine L. Stantz, PTA
• Roberta Stark, NP
• Stefanie Ann Rockey/Rockey Counseling Services LLC.
• Matthew Strayer, PT
• Kendra Stuckey

• Emergency Medicine Physician in Bryan, OH
• Providers in Bryan, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.