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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G36867 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4646 BROOKLYN AVE SUITE 203 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506 |
| 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 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| 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. |
| 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 | ||||
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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.