Blake A Stamper, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2533 Issued in AZ

Practice address

2000 Highway 95
Suite 200
Bullhead City, AZ 86442-6050

Phone

(928) 758-1175

Fax

(928) 758-5191

NPI assigned

Feb 20, 2006

Last updated

Dec 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bstamper@yourcarecommunity.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Tri-State Orthopedic Institute, P.C.

  • Orthopaedic Surgery Physician
  • Bullhead City, AZ
  • NPI 1518932094

  CA

  Medicare reassignment NPD Authorized official
• Tri State Care Flight, LLC

  • Air Ambulance
  • Greenwood Village, CO
  • NPI 1508813379
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1225003700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIGHWAY 95",
            "address_2": "SUITE 200",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426050",
            "telephone_number": "928-758-1175",
            "fax_number": "928-758-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "BLAKE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "2533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130493",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwestern Eye Center LTD (Southwestern Eye Surgicenter-Bullhead)
• St Theresa Hospice LLC (Canyon Home Care & Hospice)
• Nathan Jon Stackhouse
• Nicholas Scott Stagg, FNP-C
• Jennifer Staggs, MSW, LCSW
• Lisa A Stanley, APN
• Statewide Express Inc
• Kelleen Stiles, PMHNP
• Cynthia Joyce Stormo, RN
• Celeste Nicole Stuart, DMD

• Orthopaedic Surgery Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.