HARRY STOLLER (NPI# 1003887498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003887498 |
| Entity Type | Individual |
| Full Name | HARRY STOLLER |
| Credential | M.D. |
| Practice Address |
18444 Madison Rd South Bend IN 46614-9799 |
| Practice Telephone | 5742916754 |
| Practice Fax Number | 5742916774 |
| Mailing Telephone | 5742912273 |
| Mailing Fax Number | 5742916774 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
01021580A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
18444 MADISON RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-9799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295851335 | Sir Care, LLC | Family Medicine | 18444 Madison Rd, South Bend, IN 46614-9799 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295851335 | Sir Care, LLC | Family Medicine | 18444 Madison Rd, South Bend, IN 46614-9799 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550445 | Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | 2020-08-28 |
| 1336751312 | Indystathealthedu, LLC | Family Medicine | 5699 E 71st St Ste 1a, Indianapolis, IN 46220-3987 | 2020-08-20 |
| 1356864219 | Mobile Primary Care, LLC | Family Medicine | 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 | 2017-07-24 |
| 1962822106 | Patient Care Services Team | Family Medicine | 939 Conner St Ste 200, Noblesville, IN 46060-2622 | 2014-04-25 |
| 1396002408 | Indiana Home Care Physicians Inc | Family Medicine | 7895 Broadway Ste V, Merrillville, IN 46410-5529 | 2012-04-13 |
| 1275802993 | Certified Physician Solutions | Family Medicine | 541 N Park Ave, Indianapolis, IN 46202-3513 | 2011-12-27 |
| 1336377670 | Nikki L O'rourke | Family Medicine | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2009-06-25 |
| 1932304417 | George W Merkle Md PC | Family Medicine | 360 N Main St Ste A, Bluffton, IN 46714-2041 | 2007-06-15 |
| 1891871026 | Mohammad A Rahmany | Family Medicine | 2914 Highway Ave, Highland, IN 46322-1656 | 2006-10-31 |
| 1780777177 | Lula G. Porter | Family Medicine | 4666 Radnor Road, Indianapolis, IN 46226-2154 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on HARRY STOLLER.
| 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.