Jeffrey Stover, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35065864 Issued in OH

Practice address

476 S Main St
Andover, OH 44003-9602

Phone

(330) 841-4000

Fax

(330) 656-5901

NPI assigned

Dec 28, 2005

Last updated

Jun 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• 4M Emergency Systems Andover LLC

  • Emergency Medicine Physician
  • Andover, OH
  • NPI 1346292364
  NPD (past)
• 4M Emergency Systems LLC

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1932152584
  NPD (past)
• BMH Professional Corporation

  • Internal Medicine Physician
  • Conneaut, OH
  • NPI 1447229372
  NPD (past)
• Brown Memorial Hospital

  • Emergency Medicine Physician
  • Conneaut, OH
  • NPI 1447330519
  NPD (past)
• Memorial Hospital of Geneva

  • Emergency Medicine Physician
  • Geneva, OH
  • NPI 1164519831
  NPD (past)
• Mercy Health Youngstown LLC

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1497920409
  NPD (past)
• Steel Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Steubenville, OH
  • NPI 1831145275
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1740267004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 S MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039602",
            "telephone_number": "330-841-4000",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35065864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000269069",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N367365",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "001525638-0003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000269018",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0960152",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000385522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erma Marie Sisley
• Tonya Smith, LPN
• Christen Sonoski, LICDC
• Mark L Stabile Jr., D.O.
• Statton Inc. (Herbert's Pharmacy)
• Shelley Stowers, OTA
• Charles Wayne Swartz Jr., PTA
• Therapeutic Solutions, LLC
• Dora J Thomas
• Leonard Christopher Udell, LPN

• Emergency Medicine Physician in Andover, OH
• Providers in Andover, 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 Jun 11, 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.

Verify at the official NPI Registry.