Michael David Stormont, M.D.
Individual provider Active NPI Family Medicine Physician · Galion, OH
NPI 1811221153 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1811221153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35.098727 (OH)
- Practice address
- 800 Portland Way N
Galion, OH 44833-1156 - Phone
- (419) 462-3425
- NPI assigned
- Sep 18, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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 Inc
Galion Community Hospital
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
- Avita Home Health and Hospice
- Centerwell Home Health II
- Ohioans Home Healthcare, Inc
- Galion Community Hospital
- Avita Ontario
- Bucyrus Community Hospital
- Ohiohealth Mansfield Hospital
- Liberty Nursing Center of Mansfield
- Unger Park Post Acute
- Lexington Court Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Unger Park Post Acute |
Skilled nursing facility | Adp of the SNF | Dec 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120719000159 | OH | Practitioner - Family Practice | 7315103322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.098727 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcentral Professional Association Inc. | Past | Accepting new patients | |
| Bucyrus SNF Healthcare LLC | Past | Accepting new patients | |
| Orion Lexington LLC | Past | Accepting new patients | |
| Legacy Bucyrus Operating Company, LLC | Past | Accepting new patients | |
| Oak Grove Manor Operating Company LLC | Past | Accepting new patients | |
| Liberty Nursing Center of Mansfield, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mstormont609282@direct.osumc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.098727 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2466442 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mstormont609282@direct.osumc.edu | ||
| Direct Messaging Address | mstormont609282@direct.osumc.edu |
Other providers in Galion, OH
- Renu Soni
- Kara Sovacool
- Kathleen R Stafford
- Deborah Lynn Stall
- Steele Dialysis LLC
- Madelyn Marie Strickling
- Michael G. Swiatek
- Andrew J Taylor
- Kristina Gail Taylor
- Stephanie Kaye Taylor
All providers in Galion, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.