Stuart B Stoll, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A74944 Issued in CA

Practice address

450 N Bedford Drive
Suite 101
Beverly Hills, CA 90210-4324

Phone

(310) 274-9205

Fax

(310) 274-7229

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912017161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DRIVE",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-274-9205",
            "fax_number": "310-274-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DRIVE",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-274-9205",
            "fax_number": "310-274-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "STUART",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A74944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A749440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GR0007690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stitch, LLC
• Stitchmd
• Stlu Medical Inc a Professional Corporation
• Stma Medical Inc a Professional Corporation
• David Michael Stoll, M.D.
• Carole Lewis Stolpe, B.C.O.
• Aaron Stone, M.D.
• Andrea Daryl Stone
• Daniel J Stone, MD
• Lori Fay Stone, M.D.

• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.