DR. KEITH D STOTTLEMYER


Address: 4646 Brooklyn Ave, Suite 203, Riverside, CA 92506
Phone: 9517888332

DR. KEITH D STOTTLEMYER (NPI# 1578588034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578588034
Entity Type Individual
Full Name DR. KEITH D STOTTLEMYER
Credential MD
Practice Address 4646 Brooklyn Ave
Suite 203
Riverside
CA 92506
Mailing Address Po Box 1413
Riverside
CA 92502
Practice Telephone 9517888332
Practice Fax Number 9517882880
Mailing Telephone 9517888332
Mailing Fax Number 9517882880
Enumeration Date 2006-07-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G36867 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4646 BROOKLYN AVE
SUITE 203
City RIVERSIDE
State CA
Zip Code 92506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902405715 Riverside Primary Care Clinic, Joanna Ayala Md Clinic/Center 3978 Merrill Ave, Riverside, CA 92506 2020-10-22
1336747005 Beatriz Arredondo Behavioral Analyst 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 2020-10-14
1740756782 Priscilla Marie Rodriguez Social Worker 3742 Tibbets St Suite 201, Riverside, CA 92506 2018-10-17
1922593946 Prevail Health Solutions, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7450 Chateau Ridge Ln, Riverside, CA 92506 2018-06-22
1831691880 Mckinley Children's Center Community/Behavioral Health 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 2018-03-06
1720590946 Leticia Dilworth Behavioral Analyst 3610 Central Ave Ste 46, Riverside, CA 92506 2017-10-27
1548771736 Usa Biosciences LLC Clinical Medical Laboratory 5750 Division St Ste 109, Riverside, CA 92506 2017-10-16
1922542273 Yazmar Sevilla-perez Physical Therapist 6852 Brockton Ave., Suite 212, Riverside, CA 92506 2016-12-06
1821547605 Pathway To Healing, Marriage and Family Therapy, Inc. Marriage & Family Therapist 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 2016-09-22
1952857542 Kramer and Nguyen Dental Corporation Dentist 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 2016-09-01
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063497576 Franklin D Mccool Internal Medicine 375 Wampanoag Trl Ste 302b, Riverside, RI 02915-2235 2005-12-08
1124394135 Anita Bhagavath Internal Medicine 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 2012-03-25
1336383157 Christopher John Mullin Internal Medicine 375 Wampanoag Trl Ste 302b, Riverside, RI 02915-2235 2009-04-23
1467511170 Vinod Kumar Ambastha Internal Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-12-08
1467529289 Nikhil Dinesh Shah Internal Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-11-29
1285701003 Long Toan Bach Internal Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-11-29
1407957665 Ahmed W Husari Internal Medicine 7117 Brockton Ave, Riverside, CA 92506-2658 2006-09-26
1306943204 Jeffrey R. Simons, Md, Inc. Internal Medicine 5887 Brockton Ave, Suite B, Riverside, CA 92506-1858 2006-09-20
1972540680 E. Jane Carter Internal Medicine 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 2006-06-01
1245284447 Alice E. Bonitati Internal Medicine 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 2006-05-20
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92506

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Dataset Information

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.

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