Individual provider Active NPI

Stephanie Sobol

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1811369283
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA.18090-NP Issued in OH
Practice address
4030 Smith Rd
Suite 375
Cincinnati, OH 45209-1957
Phone
(513) 221-4848
Fax
(513) 872-7828
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X COA.18090-NP OH Primary

Addresses

Primary practice location

4030 Smith Rd
Suite 375
Cincinnati, OH 45209-1957

Mailing address

PO Box 637783
Cincinnati, OH 45263-7783
Phone (513) 853-4749

Other identifiers 1

IdentifierTypeStateIssuer
RN-293618-1OtherOHREGISTERED NURSE

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516001178 OH Practitioner - Nurse Practitioner 7012206063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8311 Montgomery Rd
Cincinnati, OH 45236-2227
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Oct 1, 2021 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 1, 2021 Accepting new patients
Trihealth G LLC CurrentSince Mar 5, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Mar 5, 2016 Accepting new patients

Locations

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

6480 Harrison Ave
Ste 100
Cincinnati, OH 45247

8099 Cornell Rd
Ste 100
Cincinnati, OH 45249

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

8099 Montgomery Rd Ste 100
Cincinnati, OH 45236

8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300

Interoperability endpoints

  • Direct secure messaging: ssobol53324@direct.trihealth.com
  • Direct secure messaging: stephanie.sobol.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1811369283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637783",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637783",
            "telephone_number": "513-853-4749",
            "fax_number": "513-853-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD",
            "address_2": "SUITE 375",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091957",
            "telephone_number": "513-221-4848",
            "fax_number": "513-872-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.18090-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN-293618-1",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.