Organization Active NPI

Peter R. Stahl, M.D., P.C.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1124260872
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
106640 Issued in NY
Legal business name
PETER R. STAHL, M.D., P.C.
Practice address
485 Titus Ave
Suite D
Rochester, NY 14617-3535
Phone
(585) 266-0540
Fax
(585) 342-9566
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Dr. Peter Richard Stahl, M.D.
Title
M.D.
Phone
(585) 266-0540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 106640 NY Primary

Addresses

Primary practice location

485 Titus Ave
Suite D
Rochester, NY 14617-3535

Mailing address

485 Titus Ave
Suite D
Rochester, NY 14617-3535
Phone (585) 266-0540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1124260872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE",
            "address_2": "SUITE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173535",
            "telephone_number": "585-266-0540",
            "fax_number": "585-342-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE",
            "address_2": "SUITE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173535",
            "telephone_number": "585-266-0540",
            "fax_number": "585-342-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R. STAHL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "585-266-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "106640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.