Organization Active NPI

Christian H. Stoermer, M.D.LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1053597690
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHRISTIAN H. STOERMER, M.D.LTD
Practice address
2110 E. Flamingo Rd #102
Las Vegas, NV 89119
Phone
(702) 796-6551
Fax
(702) 796-7067
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Authorized official

Name
Reta Meoli
Title
Manager
Phone
(702) 796-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2110 E. Flamingo Rd #102
Las Vegas, NV 89119

Mailing address

2110 E. Flamingo Rd #102
Las Vegas, NV 89119
Phone (702) 796-6551

Other identifiers 1

IdentifierTypeStateIssuer
1558495705OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716001024 NV Part B Supplier - Clinic/Group Practice 6709865314 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2110 E Flamingo Rd
Ste 102
Las Vegas, NV 89119
Phone (702) 796-6551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1053597690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E. FLAMINGO RD #102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-796-6551",
            "fax_number": "702-796-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E. FLAMINGO RD #102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-796-6551",
            "fax_number": "702-796-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN H. STOERMER, M.D.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "MEOLI",
        "authorized_official_first_name": "RETA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-796-6551"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558495705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.