Provider Demographics
NPI:1275826174
Name:STOVALL, NATALIA A (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:A
Last Name:STOVALL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8899 BROOKSIDE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7112
Mailing Address - Country:US
Mailing Address - Phone:513-481-5100
Mailing Address - Fax:513-777-5183
Practice Address - Street 1:8899 BROOKSIDE AVE STE 101
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-7112
Practice Address - Country:US
Practice Address - Phone:513-481-5100
Practice Address - Fax:513-777-5183
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35121644207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0087412Medicaid
KY7100250760Medicaid
KY7100250760Medicaid