Scott T Stoll DO PHD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H9575 Issued in TX

Legal business name

SCOTT T STOLL DO PHD PA

Doing business as

Stoll Neurodiagnostics

Practice address

5717 Edwards Ranch Rd
Fort Worth, TX 76109-4116

Phone

(817) 294-3195

Fax

(817) 294-3466

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Scott T Stoll, D.O.NPI 1275506644

Title

President

Phone

(817) 294-3195

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stoll Neurodiagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott T Stoll, DO, PHD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1275506644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1912231408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094116",
            "telephone_number": "817-294-3195",
            "fax_number": "817-294-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094116",
            "telephone_number": "817-294-3195",
            "fax_number": "817-294-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T STOLL DO PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-294-3195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H9575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027TA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211320101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoll Neurodiagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laina Scivally, LBSW
• Heather Nicole Scoggins
• Emily Scoles
• Amanda Scorcio
• Scott Carrier Service Inc
• Andrea K Scott, LPC, LSOTP
• April Scott, RRT
• Bria Scott
• Cheryl Andrea Scott, LPC
• Christopher Royce Scott, D.C.

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.