Healthcare Provider Details

I. General information

NPI: 1558928457
Provider Name (Legal Business Name): HAVILAH STHOLE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2019
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

6823 MILITIA HILL ST NW
CANTON OH
44718-3716
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10975
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number34.017825
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: