Active NPI
Michael W Stogsdill, PA-C
- Physician Assistant
- Dayton, OH
National Provider Identifier
1871573352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50001633
- Practice address
- 5538 Philadelphia Dr
Dayton, OH 45415-3062 - Phone
- (937) 424-3589
- NPI assigned
- Jan 19, 2006
- Last updated
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50001633 | OH | Primary |
Addresses
Primary practice location
5538 Philadelphia Dr
Dayton, OH 45415-3062
Mailing address
3751 Corkwood Dr
Dayton, OH 45424-4925
Phone (937) 236-1636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083635 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50001633 | OH | MD | Physician Assistant |
Interoperability endpoints
- bxl4782i@yourcarecommunity.org
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1871573352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 CORKWOOD DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454244925",
"telephone_number": "937-236-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5538 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153062",
"telephone_number": "937-424-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOGSDILL",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50001633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0083635",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.