Stoll Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STOLL MEDICAL GROUP LLC

Practice address

1528 Walnut St Ste 950
Philadelphia, PA 19102-3628

Phone

(215) 531-4564

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Steven Matthew Stoll, MD

Title

Provider/Owner

Phone

(215) 615-3020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1932454923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST",
            "address_2": "SUITE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023628",
            "telephone_number": "215-531-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "215-615-3020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027200860002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Stokes, LMT
• William Townsend Stokes, DC
• Neal Stolar, MD
• Allan Edward Stolarski, MD
• Stoll Medical Group LLC
• Steven Matthew Stoll, MD
• Catherine A Stolle, PH.D.
• Hans Christian Stolle, DPT
• Jason Z Stoller, MD
• Dvasha Stollman, DMD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.