Individual provider Active NPI

Matthew Carl Stensland, D.O.

  • Emergency Medicine Physician
  • Marietta, OH
National Provider Identifier
1740624899
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34012099 Issued in OH
Practice address
401 Matthew St
Emergency Department
Marietta, OH 45750-1635
Phone
(740) 376-1939
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34012099 OH Primary
Emergency Medicine Physician 207P00000X 3189 WV

Addresses

Primary practice location

401 Matthew St
Emergency Department
Marietta, OH 45750-1635

Mailing address

624 1/2 2ND St
Marietta, OH 45750-2121
Phone (908) 303-1546

Other practice location 1

122 Pinnell St
Emergency Department
Ripley, WV 25271
Phone (304) 372-2731

Other practice location 2

799 Farson St
Emergency Department
Belpre, OH 45714
Phone (740) 401-1150

Other identifiers 1

IdentifierTypeStateIssuer
0164563MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180521000274 MD Practitioner - Emergency Medicine 8628357613 Reassigns benefits to 1 organization
I20220802003497 DE Practitioner - Emergency Medicine 8628357613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
91.08
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34012099OHMDEmergency Medicine Physician
3189WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Service Associates PA Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Community Health Association Past Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Interoperability endpoints

  • Direct secure messaging: matthewstensland@agh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740624899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 1/2 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502121",
            "telephone_number": "908-303-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-376-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Pinnell St",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "WV",
            "postal_code": "25271",
            "country_code": "US",
            "telephone_number": "304-372-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Farson St",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "45714",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STENSLAND",
        "first_name": "MATTHEW",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34012099",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.