Individual provider Active NPI

Jeffery L Stambough, MD

  • Orthopaedic Surgery Physician
  • Norwood, OH
National Provider Identifier
1891778866
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35053396 Issued in OH
Practice address
4600 Smith Rd
Suite B
Norwood, OH 45212-2793
Phone
(513) 221-4848
Fax
(513) 872-7825
NPI assigned
Nov 23, 2005
Last updated
Apr 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35053396 OH Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 35053396 OH
Orthopaedic Surgery of the Spine Physician 207XS0117X 35053396 OH

Addresses

Primary practice location

4600 Smith Rd
Suite B
Norwood, OH 45212-2793

Mailing address

4685 Forest Ave
Ste C
Cincinnati, OH 45212-3359
Phone (513) 853-4749

Other identifiers 1

IdentifierTypeStateIssuer
0632202MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000315 OH Practitioner - Orthopedic Surgery 4789610205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35053396OHMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients

Locations

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

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

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

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

4600 Smith Rd
Ste B
Norwood, OH 45212
Phone (513) 221-4848

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1891778866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "address_2": "STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "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": "4600 SMITH RD",
            "address_2": "SUITE B",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452122793",
            "telephone_number": "513-221-4848",
            "fax_number": "513-872-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBOUGH",
        "first_name": "JEFFERY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35053396",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "35053396",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OH",
            "license": "35053396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0632202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, OH

Sources for this page

Verify at the official NPI Registry.