DR. RANDALL L STAHLY (NPI# 1649320532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649320532 |
| Entity Type | Individual |
| Full Name | DR. RANDALL L STAHLY |
| Credential | D.O. |
| Practice Address |
63 Doctors Park Cape Girardeau MO 63703-4927 |
| Mailing Address |
Po Box 1118 Cape Girardeau MO 63702-1118 |
| Practice Telephone | 5733344110 |
| Practice Fax Number | 5733344178 |
| Mailing Telephone | 5733344110 |
| Mailing Fax Number | 5733344178 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R6455 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
63 DOCTORS PARK |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497868525 | Seh Neurology LLC | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-08-15 |
| 1225261357 | Neurological Consultants of Cape Girardeau, L.L.C. | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2009-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497868525 | Seh Neurology LLC | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-08-15 |
| 1346251436 | Robert E Gardner | Psychiatry & Neurology | 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703-5031 | 2006-08-11 |
| 1427088046 | Steven D Mellies | Psychiatry & Neurology | 3250 Gordonville Rd Ste 206, Cape Girardeau, MO 63703-5095 | 2006-07-03 |
| 1437544749 | Richard Daniel Ronca | Psychiatry & Neurology | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2015-04-02 |
| 1104258144 | Aleksey Aleksandrovich Androsov | Psychiatry & Neurology | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2013-08-01 |
| 1558626572 | Omar Kuzez | Psychiatry & Neurology | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2012-07-05 |
| 1225261357 | Neurological Consultants of Cape Girardeau, L.L.C. | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2009-08-24 |
| 1053435719 | Neurologic Associates of Cape Girardeau, Inc | Psychiatry & Neurology | 3250 Gordonville Rd Ste 206, Cape Girardeau, MO 63703-5095 | 2007-03-19 |
| 1407945934 | Abdul B Chaudhari | Psychiatry & Neurology | 1723 Broadway, Suite 210, Cape Girardeau, MO 63701 | 2006-10-12 |
| 1861505703 | David Y Lee | Psychiatry & Neurology | 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703-5031 | 2006-08-16 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on DR. RANDALL L STAHLY.
| 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.