DR. SCOTT ALAN STORCK (NPI# 1639331358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639331358 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ALAN STORCK |
| Credential | M.D. |
| Practice Address |
2330 E High St Springfield OH 45505-1371 |
| Practice Telephone | 9373243937 |
| Practice Fax Number | 9373248943 |
| Mailing Telephone | 9373243937 |
| Mailing Fax Number | 9373248943 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35.095337 | OH | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 11013273A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3082499 | 05 | |
| OH | NATIONAL NPI NUMBER | 1639331358 | 01 |
| OH | AETNA | 9911559 | 01 |
| Street Address |
2330 E HIGH ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427049568 | Gary J. Lau | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2005-10-28 |
| 1801377833 | Family Medicine & Adult Care LLC | Family Medicine | 2330 E High St, Springfield, OH 45505-1371 | 2018-08-27 |
| 1477077428 | Meghann Elise Thacker | Nurse Practitioner | 2330 E High St, Springfield, OH 45505-1371 | 2017-08-01 |
| 1588083547 | Rebecca Lynne Chait | Ophthalmology | 2330 E High St, Springfield, OH 45505 | 2014-04-07 |
| 1093946659 | Kenneth L. Reed, D.o., LLC | Internal Medicine | 2330 E High St, Suite B, Springfield, OH 45505-1371 | 2009-07-30 |
| 1366623662 | John W Dobson Md Inc | Orthopaedic Surgery | 2330 E High St, Springfield, OH 45505-1371 | 2007-11-15 |
| 1992878250 | Goes Physicians Inc | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2006-11-16 |
| 1124019187 | Larry A. Fish | Ophthalmology | 2330 E High St, Springfield, OH 45505-1371 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310392 | Lucas Lenci | Ophthalmology | 1531 E Bradford Pkwy Ste 100, Springfield, MO 65804-6539 | 2014-06-03 |
| 1417375577 | Shilpa Gulati | Ophthalmology | 3640 Main St Ste 201, Springfield, MA 01107-1139 | 2014-04-04 |
| 1285900423 | Ashley Abraham | Ophthalmology | 400 N 9th St Fl 3, Springfield, IL 62702-5310 | 2012-03-30 |
| 1891072963 | Roger Bruce Schlemmer | Ophthalmology | 2733 East Battlefield Rd., #106, Springfield, MO 65804-3981 | 2011-11-03 |
| 1881905602 | An Thien Vo | Ophthalmology | 100 W Sproul Rd Ste 100, Springfield, PA 19064-2033 | 2010-06-25 |
| 1033433925 | Jessica Eva Van Looveren | Ophthalmology | 8136 Old Keene Mill Rd Ste 300b300, Springfield, VA 22152-1850 | 2010-03-21 |
| 1427212737 | Sarah Anne Hanson | Ophthalmology | 3640 Main St Ste 205, Springfield, MA 01107-1139 | 2008-07-16 |
| 1588824221 | Adam Avery Carver | Ophthalmology | 1229 E Seminole St Ste 420, Springfield, MO 65804-2227 | 2008-06-16 |
| 1689840803 | Marissa Lynn Albano | Ophthalmology | 8136 Old Keene Mill Rd Ste 300, Springfield, VA 22152-1850 | 2008-05-07 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
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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.