Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gunner Matthew Stall

Individual provider Physician Assistant · NPI 1558188938

Gunner Matthew Stall is a Physician Assistant in Lima, Ohio. Qualified in 2024, 2 years ago. Practices with Orthopaedic Institute of Ohio, Inc, a 74-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

801 Medical Dr Ste A
Lima, OH 45804-4030
Phone: (419) 222-6622
Fax: (419) 224-0015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558188938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address801 Medical Dr Ste A, Lima, OH 45804-4030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthopaedic Institute Of Ohio, Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lima