James R Stille (NPI# 1417964610, PAC ID# 1355470204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1417964610 |
| PAC ID by PECOS | 1355470204 |
| Professional Enrollment ID | I20100602000492 |
| Full Name | James R Stille |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Address |
3915 E Market St Warren OH 44484-4710 |
| Phone Number | 3307589787 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1992 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9032367917 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360055 | STEWARD TRUMBULL MEMORIAL HOSPITAL, INC |
| 360352 | SURGICAL HOSPITAL AT SOUTHWOODS |
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| 360161 | ST JOSEPH WARREN HOSPITAL |
| 390211 | SHARON REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3915 E Market St, Warren, OH 44484-4710 | 3307589787 | TRIAD HEALTH SERVICES LLC |
| 904 Sahara Trl, Youngstown, OH 44514-3695 | 3307589787 | TRIAD HEALTH SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 58% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 58% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley A Clark | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Deborah J Nichols | Nurse Practitioner | Triad Health Services LLC | 3304 Stones Throw Ave, Poland, OH 44514-4204 |
| Timothy Domer | Orthopedic Surgery | Triad Health Services LLC | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 |
| Richard J Marina | Gastroenterology | Triad Health Services LLC | 918 Trailwood Dr, Suite 1, Youngstown, OH 44512-5037 |
| Richard Griffin Nord | Urology | Triad Health Services LLC | 904 Sahara Trl, Youngstown, OH 44514-3695 |
| Jeffrey Halley | Cardiovascular Disease (cardiology) | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Raymond Scott Duffett | Orthopedic Surgery | Triad Health Services LLC | 1335 Belmont Ave, Youngstown, OH 44504-1135 |
| Douglas J Smith Behn | General Surgery | Triad Health Services LLC | 4308 Belmont Ave, Suite 3, Youngstown, OH 44505-1071 |
| James Nicholas Pantelakis | Orthopedic Surgery | Triad Health Services LLC | 6615 Clingan Rd A, Youngstown, OH 44514-2196 |
| Lauren Wire | Nurse Practitioner | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Street Address |
3915 E MARKET ST |
| City | WARREN |
| State | OH |
| Zip | 44484-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian P Brocker | Neurosurgery | 3915 E Market St, Warren, OH 44484-4711 | |
| Paul Wickliffe Musselman Ii | Urology | Triad Health Services LLC | 3915 E Market St, Warren, OH 44484-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Neuman | Otolaryngology | 349 Niles-cortland Rd Ne, Warren, OH 44484 | |
| Chad Aaron Shultz | Optometry | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| John P Aey | Ophthalmology | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| Nicholas George Lawrence | Optometry | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| Thomas M Grischow | Optometry | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| Marisa M Wynne | Pain Management | Mercy Health Physicians Youngstown, LLC | 1934 Niles Cortland Rd Ne, Suite B, Warren, OH 44484-1055 |
| Douglas W Crush | Psychologist, Clinical | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 |
| Carmela Kiraly | Sleep Medicine | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 |
| Consandre Romain | General Surgery | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 |
| Jared D Bunevich | Otolaryngology | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Suite B, Warren, OH 44484-1055 |
| Find all physicians in zip 44484 | |||
| City | WARREN |
| Zip Code | 44484 |
| Specialty | UROLOGY |
| City + Specialty | WARREN + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.