NPIMap

Individual provider Active NPI

Michael David Stormont, M.D.

  • Family Medicine Physician
  • Galion, OH
National Provider Identifier
1811221153
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.098727 Issued in OH
Practice address
800 Portland Way N
Galion, OH 44833-1156
Phone
(419) 462-3425
NPI assigned
Sep 18, 2009
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.098727 OH Primary

Addresses

Primary practice location

800 Portland Way N
Galion, OH 44833-1156

Mailing address

700 N Columbus St
Crestline, OH 44827-1455

Other practice location 1

987 State Route 97 W
Bellville, OH 44813-4481
Phone (419) 462-3425

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mstormont609282@direct.osumc.edu
Direct Messaging Address mstormont609282@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000159 OH Practitioner - Family Practice 7315103322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Galion Community HospitalGroup PAC ID 5496737439, shared by 17 NPIs, 40 clinicians

Practice addresses (Care Compare)

24 E Whitney Ave
Shelby, OH 44875-1282
Phone (567) 247-0870

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

987 State Route 97
Bellville, OH 44813-7001
Phone (567) 560-3790

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.098727OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Grove Manor Operating Company LLC Past Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients
Liberty Nursing Center of Mansfield, Inc. Past Accepting new patients
Bucyrus SNF Healthcare LLC Past Accepting new patients
Legacy Bucyrus Operating Company, LLC Past Accepting new patients
Orion Lexington LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mstormont609282@direct.osumc.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unger Park Post AcuteBucyrus, OH, CCN 365619 Skilled nursing facility Adp of the SNF Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1811221153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PORTLAND WAY N",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331156",
            "telephone_number": "419-462-3425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "987 State Route 97 W",
            "address_purpose": "LOCATION",
            "city": "Bellville",
            "state": "OH",
            "postal_code": "448134481",
            "country_code": "US",
            "telephone_number": "419-462-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORMONT",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.098727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstormont609282@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "800 Portland Way N",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448331156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstormont609282@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "987 State Route 97 W",
            "city": "Bellville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448134481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.