Active NPI
Suzanne Stelmach, M.D.
- Pediatrics Physician
- Jacksonville, NC
National Provider Identifier
1184824328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24101
- Practice address
- 612 College St
Jacksonville, NC 28540-5311 - Phone
- (910) 347-2154
- Fax
- (910) 347-3165
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24101 | NC | Primary |
Addresses
Primary practice location
612 College St
Jacksonville, NC 28540-5311
Mailing address
212 Creedmoor Rd
Jacksonville, NC 28546-6027
Phone (910) 938-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139G1 | Other | NC | BC/BS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24101 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1184824328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CREEDMOOR RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466027",
"telephone_number": "910-938-3362",
"fax_number": "910-347-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 COLLEGE ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405311",
"telephone_number": "910-347-2154",
"fax_number": "910-347-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELMACH",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "24101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NC",
"identifier": "139G1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.