NPIMap

Organization Active NPI

Stelzer Surgery, PC

  • General Practice Physician
  • Le Mars, IA
National Provider Identifier
1104977867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22867 Issued in IA
Legal business name
STELZER SURGERY, PC
Practice address
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone
(712) 546-8744
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark E StelzerNPI 1700886314
Title
President
Phone
(712) 546-8744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 22867 IA Primary

Addresses

Primary practice location

714 Lincoln St NE
Le Mars, IA 51031-3314

Mailing address

19 1St Ave NW
Le Mars, IA 51031-3511
Phone (712) 546-8744

Other identifiers 1

IdentifierTypeStateIssuer
0418863MedicaidIA

National Provider Directory

National Provider Directory

Locations

19 1st Ave NW
Le Mars, IA 51031

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104977867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 1ST AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313511",
            "telephone_number": "712-546-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELZER SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STELZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-546-8744"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IA",
            "license": "22867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418863",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.