Stacie Dyan Anderson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.003622 Issued in OH

Practice address

5625 Ridge Rd
Parma, OH 44129-2633

Phone

(440) 884-4100

Fax

(440) 884-4742

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey a. Halpert DPM LLCGroup PAC ID 6901870732, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanderson37706@ehrdirect.uhhospitals.org

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.

• Jeffrey a. Halpert DPM, LLC

  • Podiatrist
  • Parma, OH
  • NPI 1396750048

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Jeffrey a. Halpert DPM, LLC

  • Podiatrist
  • Broadview HTS, OH
  • NPI 1447596069
  NPD

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1790079812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292633",
            "telephone_number": "440-884-4100",
            "fax_number": "440-884-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292633",
            "telephone_number": "440-884-4100",
            "fax_number": "440-884-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STACIE",
        "middle_name": "DYAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amel Provider Services LLC
• Yomna Amer
• Camille Kelly Anderson
• Doralynn Anderson, RN
• Dorethea Anderson, RN
• Tyisha Anderson, LPN
• Gino Joseph Andreano
• Mary Kathleen Andreano, RN
• John Charles Andrefsky, MD
• Andrew Lubandi

• Foot & Ankle Surgery Podiatrist in Parma, OH
• Providers in Parma, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.