1326098492 NPI number — DR. LLOYD D STAHL M.D.

Table of content: DR. LLOYD D STAHL M.D. (NPI 1326098492)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326098492 NPI number — DR. LLOYD D STAHL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STAHL
Provider First Name:
LLOYD
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326098492
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5701 W 119TH ST
Provider Second Line Business Mailing Address:
SUITE 430
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66209-3721
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-253-3000
Provider Business Mailing Address Fax Number:
913-663-2980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5701 W 119TH ST
Provider Second Line Business Practice Location Address:
430
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66209-3721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-253-3000
Provider Business Practice Location Address Fax Number:
913-663-2980
Provider Enumeration Date:
05/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  R6G98 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 0421826 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0600031971 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 202409215 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00908852 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100205950A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00696687 . This is a "MO-RAILROAD PTAN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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