LUKE E STALL (NPI# 1376687954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376687954 |
| Entity Type | Individual |
| Full Name | LUKE E STALL |
| Credential | MD |
| Practice Address |
3582 Brodhead Rd Ste 204 Monaca PA 15061 |
| Mailing Address |
3582 Brodhead Rd Ste 204 Monaca PA 15061-3142 |
| Practice Telephone | 7247287416 |
| Mailing Telephone | 7247287416 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
P0300 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
P0300 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 N Las Vegas Blvd, Apo, AA 89191 | 7026532830 |
| Street Address |
3582 BRODHEAD RD STE 204 |
| City | MONACA |
| State | PA |
| Zip Code | 15061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498910 | Ashley Lynn Bell | Physician Assistant | 3944 Brodhead Road, Suite 7b, Monaca, PA 15061 | 2015-10-06 |
| 1902193105 | Robert Martin Niedermeyer Jr. | Pharmacist | 87 Wagner Road, Monaca, PA 15061 | 2011-07-08 |
| 1033416979 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 118 Wagner Rd, Monaca, PA 15061 | 2011-02-11 |
| 1326275595 | Tri-state Medical Group, Inc. | Internal Medicine | Route 18 Wal-mart Shopping Plaza, Heritage Valley Convenient Care-monaca, Monaca, PA 15061 | 2009-06-16 |
| 1053560888 | Beth Ann Klump | Physician Assistant | 3572 Brodhead Rd., Suite 301, Monaca, PA 15061 | 2008-09-17 |
| 1063595684 | Wal-mart Stores East, Lp | Technician/Technologist | Pa. Rt.18/wal-mart Plaza Shpg., Monaca, PA 15061 | 2006-10-24 |
| 1366533945 | Regine Lydie Bataille-gossard | Optometrist | Walmart Vision Center, Walmart Plaza Route 18, Monaca, PA 15061 | 2006-09-27 |
| 1346341708 | Richa Bajaj | Dentist | 125 Wagner Rd, Monaca, PA 15061 | 2006-09-26 |
| 1538265319 | David Walter Jaskiewicz | Optometrist | Route 18, Walmart Plaza, Monaga, PA 15061 | 2006-09-16 |
| 1275636011 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 850 Pennsylvania Ave, Monaca, PA 15061 | 2006-09-07 |
| Find all providers in zip 15061 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930798 | Mvc Pa Pllc | Radiology | 4262 Old William Penn Hwy Ste 209, Murrysville, PA 15668-1954 | 2019-03-07 |
| 1205296209 | Interventional Solutions Inc. | Radiology | 333 Allegheny Ave Ste 200, Oakmont, PA 15139-2072 | 2016-03-03 |
| 1861857906 | Lehigh Valley Vascular Institute LLC | Radiology | 3450 High Point Blvd, Bethlehem, PA 18017-7801 | 2015-12-16 |
| 1447647102 | Fresenius Vascular Care Pottstown LLC | Radiology | 2217 E High St, Pottstown, PA 19464-3215 | 2015-04-21 |
| 1891119764 | Aaron Shiloh, Md LLC | Radiology | 715 Cherry Ln, Suite 100, Southampton, PA 18966-3936 | 2014-02-12 |
| 1396081857 | Shante D Bennett | Radiology | 503 North 21st St, Camp Hill, PA 17011 | 2013-01-02 |
| 1326310806 | Pa Vascular Institute LLC | Radiology | 505 Independence Rd Ste E, East Stroudsburg, PA 18301-7916 | 2012-01-31 |
| 1699090654 | Guillaume Boiteau | Radiology | 220 S Home Ave, Apt # 404, Pittsburgh, PA 15202-2844 | 2010-04-02 |
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1831353879 | Pennsylvania Phlebology Group PC | Radiology | 707 Eagleview Blvd Ste 303, Exton, PA 19341-1159 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.