Active NPI
Scott Stoller, NRP
- Paramedic
- Greenville, SC
National Provider Identifier
1992387831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- SC002911
- Practice address
- 200 University RDG
Greenville, SC 29601-3635 - Phone
- (864) 844-3008
- NPI assigned
- Apr 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | SC002911 | SC | Primary |
Addresses
Primary practice location
200 University RDG
Greenville, SC 29601-3635
Mailing address
200 University RDG
Greenville, SC 29601-3635
Phone (864) 844-3008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stollesj@dhec.sc.gov | Direct | SC DHEC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002911 | SC | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson County EMS | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Anderson, SC
- NPI 1942698329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1992387831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNIVERSITY RDG",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013635",
"telephone_number": "864-844-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY RDG",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013635",
"telephone_number": "864-844-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "SCOTT",
"credential": "NRP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "SC",
"license": "SC002911",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stollesj@dhec.sc.gov",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "SC DHEC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 University Rdg",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296013635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.