STOLL MEDICAL GROUP LLC


Address: 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628
Phone: 2155314564

STOLL MEDICAL GROUP LLC (NPI# 1932454923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932454923
Entity Type Organization
Organization Name STOLL MEDICAL GROUP LLC
Practice Address 1528 Walnut St Ste 950
Philadelphia
PA 19102-3628
Mailing Address 1528 Walnut St
Suite 950
Philadelphia
PA 19102-3604
Practice Telephone 2155314564
Enumeration Date 2012-07-17
Last Update Date 2018-09-27
Authorized Official Name STEVEN MATTHEW STOLL (PROVIDER/OWNER)
Authorized Official Telephone 2156153020
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1027200860002 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144875717 Stoll Medical Group LLC Specialist 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2019-08-09

Office Location

Street Address 1528 WALNUT ST STE 950
City PHILADELPHIA
State PA
Zip Code 19102-3628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780970442 Jessica L. Desalvo Internal Medicine 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2011-06-21
1023624194 Anne Marie Sullivan Physician Assistant 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2020-09-23
1144875717 Stoll Medical Group LLC Specialist 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2019-08-09
1972984458 Aekata Shah Family Medicine 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2015-06-10
1689051013 Meryl Rosen Dermatology 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2015-05-06
1609262161 Bryan Andrew Botti Family Medicine 1528 Walnut St Ste 950, Philadelphia, PA 19102-3628 2015-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
Find all providers in zip 19102

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619587227 Cmp Medical LLC Family Medicine 3626 Sears St, Philadelphia, PA 19146-3217 2020-08-07
1225648140 Action Health Centers Inc Family Medicine 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 2020-08-05
1285289876 Visiting Doctors Inc Family Medicine 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 2019-08-09
1770137218 Health Care At Northeast Philadelphia LLC Family Medicine 3353 Cottman Avenue, Philadelphia, PA 19149-1603 2019-08-01
1679131585 Aria Health Physician Services Family Medicine 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 2019-06-05
1689232597 Aria Health Physician Services Family Medicine 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 2019-06-05
1174096432 Temple University of The Commonwealth System of Higher Education Family Medicine 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 2019-01-09
1679043152 Prevention Point Philadelphia Family Medicine 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 2018-11-28
1700362266 Wes Corporation Family Medicine 5000 N 13th St, Philadelphia, PA 19141-3533 2018-07-17
1376046508 Philly Medical and Rehab Associates Family Medicine 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 2018-03-14
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19102

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Dataset Information

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.

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