STACIE K HIROTA (NPI# 1720442353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720442353 |
| Entity Type | Individual |
| Full Name | STACIE K HIROTA |
| Credential | DO |
| Practice Address |
815 W Broad St Suite 200 Columbus OH 43222-1464 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 6142349822 |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02006097A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
815 W BROAD ST SUITE 200 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43222-1464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204373 | Mark Stechschulte | Internal Medicine | 815 W Broad St, Suite 220, Columbus, OH 43222-1464 | 2005-09-01 |
| 1518567270 | Melissa R Killoran | Counselor | 815 W Broad St, Columbus, OH 43222-1464 | 2020-10-30 |
| 1215544465 | Abigail J Mcguire | Nurse Practitioner | 815 W Broad St, Columbus, OH 43222-1464 | 2020-09-30 |
| 1356950471 | Julian Williams | Counselor | 815 W Broad St, Columbus, OH 43222-1464 | 2020-07-24 |
| 1265041388 | Samuel Asare | Counselor | 815 W Broad St, Columbus, OH 43222-1464 | 2020-07-24 |
| 1306301379 | Christopher Cavender | Social Worker | 815 W Broad St, Columbus, OH 43222-1464 | 2019-02-04 |
| 1487001772 | Noah Hagen | Internal Medicine | 815 W Broad St, Suite 200, Columbus, OH 43222-1464 | 2016-05-17 |
| 1588026637 | Sagar Gandhi | Student in an Organized Health Care Education/Training Program | 815 W Broad St, Suite 200, Columbus, OH 43222-1464 | 2016-03-27 |
| 1487049318 | Carter Ellis Battista | Anesthesiology | 815 W Broad St, Suite 200, Columbus, OH 43222-1464 | 2015-03-28 |
| 1821415043 | Erica Marie Nance | Physician Assistant | 815 W Broad St, Suite 220, Columbus, OH 43222-1464 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447893284 | Columbus Neighborhood Health Center, Inc. Dba Primaryone Health | Clinic/Center | 730 W. Town Street, Columbus, OH 43222 | 2019-10-24 |
| 1760037006 | New Hope Behavioral Health, LLC | Counselor | 775 W. Broad St., Suite 210, Columbus, OH 43222 | 2019-08-05 |
| 1649623208 | Carol Leslie Eppler | Social Worker | 1251 W. Broad St, Maryhaven@lower Lights Christian Health Center, Columbus, OH 43222 | 2016-07-19 |
| 1457770471 | Hareesh Venkata Singam | Student in an Organized Health Care Education/Training Program | 793 W. State St., Columbus, OH 43222 | 2014-04-08 |
| 1629243373 | Jeffrey Eric Salon | Internal Medicine | 745 West State, Suite 610, Columbus, OH 43222 | 2008-04-24 |
| 1821110693 | Ashita Sinha | Hospitalist | 793 W.state St., Mount Carmel Hospital ( Columbus Inpatient Care Group), Columbus, OH 43222 | 2007-04-04 |
| 1124194204 | Mary Elizabeth Sparks | Social Worker | 1810 Sullivant Ave, Columbus, OH 43222 | 2006-11-28 |
| 1437222346 | Brandie M Price | Registered Nurse | 793 West State St, Columbus, OH 43222 | 2006-11-16 |
| 1467535641 | Bernard Andrew Bronczyk | Family Medicine | 1601 W Broad, Columbus, OH 43222 | 2006-10-23 |
| 1245328251 | Neil Alan Miller | Registered Nurse | 793 W State Street, Mt Carmel Medical Center, Columbus, OH 43222 | 2006-10-11 |
| Find all providers in zip 43222 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023577319 | Shilpa Sridhar | Internal Medicine | 720 W 3rd Ave Apt 335, Columbus, OH 43212-3162 | 2019-03-15 |
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1174051809 | Melissa Christine Kander | Internal Medicine | 4830 Knightsbridge Blvd Ste A, Columbus, OH 43214-2300 | 2017-05-25 |
| 1831623115 | Sumiya Ahmed | Internal Medicine | 23203 Columbus Rd Ste I, Columbus, NJ 08022-1985 | 2017-04-13 |
| 1699209023 | Karenpreet Brar | Internal Medicine | 4310 Clime Rd Ste A, Columbus, OH 43228-3496 | 2017-04-12 |
| 1194173864 | Nishant Dagli | Internal Medicine | 50 N Wilson Rd, Columbus, OH 43204-1214 | 2016-06-02 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1013379080 | Melissa Lau | Internal Medicine | 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 | 2016-03-28 |
| 1285096453 | Katherine Frances Ernst | Internal Medicine | 1405 S High St, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43207-1043 | 2016-03-25 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.