Active NPI
William V Stoecker, M.D.
- Dermatology Physician
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R9056
- Practice address
- 10101 Stoltz Dr
Rolla, MO 65401-7714 - Phone
- (573) 364-0122
- Fax
- (573) 364-0129
- NPI assigned
- Oct 2, 2006
- Last updated
- Jun 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R9056 | MO | Primary |
Addresses
Primary practice location
10101 Stoltz Dr
Rolla, MO 65401-7714
Mailing address
10101 Stoltz Dr
Rolla, MO 65401-7714
Phone (573) 364-0122
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0320000 | Other | MO | UNITED HEALTHCARE PROVIDE |
| 117841 | Other | MO | HEALTHLINK PROVIDER # |
| 506121300 | Medicaid | MO | |
| 201026515 | Medicaid | MO | |
| 4358 | Other | MO | BLUE CROSS PROVIDER # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wstoecker@directaddress.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Missouri, Columbia School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10101 Stoltz Dr
Rolla, MO 65401-7714
Phone (573) 364-0122
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 1339 |
| Removal or shaving of skin growth | 20 |
| Skin biopsy | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Center, LLC | Dermatology | Current | Accepting new patients |
| Ozarks Medical Center | Dermatology | Past | Accepting new patients |
Locations
10101 Stoltz Dr
Rolla, MO 65401
Phone (417) 336-0033
35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000
Interoperability endpoints
- wstoecker@directaddress.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Rolla, MO
- NPI 1154486827
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1104919851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 STOLTZ DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654017714",
"telephone_number": "573-364-0122",
"fax_number": "573-364-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 STOLTZ DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654017714",
"telephone_number": "573-364-0122",
"fax_number": "573-364-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOECKER",
"first_name": "WILLIAM",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "R9056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROVIDE",
"identifier": "0320000",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROVIDER #",
"identifier": "117841",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506121300",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201026515",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "4358",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wstoecker@directaddress.net",
"affiliation": "N",
"endpointDescription": "William V. Stoecker, M.D.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10101 Stoltz Dr",
"city": "Rolla",
"state": "MO",
"country_code": "US",
"postal_code": "654017714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.