MEDICARE: CAROLYN ELAINE STIERHOFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.153504	OH
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	35.153504	OH

General Provider Information

NPI Number	:	1144807009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN ELAINE STIERHOFF MD

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26506-1200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 WILLIAMS ST
Second Line	:
City	:	HURON
State	:	OH
Zip	:	44839-1648
Country	:	US
Telephone Number	:	419-433-5222
Fax Number	:	419-433-8214

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	07/10/2025

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