Individual provider Active NPI

Deborah Suzanne Stoffel, DOM

  • Acupuncturist
  • Wauwatosa, WI
National Provider Identifier
1053507285
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
457-55 Issued in WI
Practice address
2577 N 69TH St
Wauwatosa, WI 53213-1315
Phone
(414) 702-8163
Fax
(414) 727-5409
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 457-55 WI Primary

Addresses

Primary practice location

2577 N 69TH St
Wauwatosa, WI 53213-1315

Mailing address

S31W24757 Sunset Dr
Waukesha, WI 53189-7014
Phone (262) 547-2250

Other names 1

  • Suzi Stoffel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
457-55WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Badger Health Center SC PastSince Apr 8, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1053507285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S31W24757 SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897014",
            "telephone_number": "262-547-2250",
            "fax_number": "262-547-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 N 69TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131315",
            "telephone_number": "414-702-8163",
            "fax_number": "414-727-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFEL",
        "first_name": "DEBORAH",
        "middle_name": "SUZANNE",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "457-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZI",
            "last_name": "STOFFEL",
            "credential": "DOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.