Individual provider Active NPI

William V Stoecker, M.D.

  • Dermatology Physician
  • Rolla, MO
National Provider Identifier
1104919851
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R9056 Issued in MO
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0320000OtherMOUNITED HEALTHCARE PROVIDE
117841OtherMOHEALTHLINK PROVIDER #
506121300MedicaidMO
201026515MedicaidMO
4358OtherMOBLUE CROSS PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001374 MO Practitioner - Dermatology 4385836428 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1339
Removal or shaving of skin growth20
Skin biopsy181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center, LLC Dermatology CurrentSince Mar 1, 2003 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.