Active NPI
Ralph Stegemoller, MD
- Emergency Medicine Physician
- North Augusta, SC
National Provider Identifier
1225042799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36548
- Practice address
- 1200 Talisman Dr
North Augusta, SC 29841-4032 - Phone
- (305) 466-9988
- Fax
- (305) 466-9989
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9700141 | NC | |
| Emergency Medicine Physician | 207P00000X | 36548 | SC | Primary |
Addresses
Primary practice location
1200 Talisman Dr
North Augusta, SC 29841-4032
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
Other practice location 1
1516 Grays Hwy
Ridgeland, SC 29936-5440
Phone (800) 226-8874
Other practice location 2
905 Dukes St
Saint George, SC 29477-2059
Phone (800) 226-8874
Other practice location 3
3039 Okatie Hwy
Okatie, SC 29909-5101
Phone (800) 226-8874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9700141 | Other | NC | MEDICAL LICENSE |
| MD35648 | Other | SC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36548 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QSM-Ky, Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1225042799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 TALISMAN DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414032",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
}
],
"practiceLocations": [
{
"address_1": "1516 Grays Hwy",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "SC",
"postal_code": "299365440",
"country_code": "US",
"telephone_number": "800-226-8874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "905 Dukes St",
"address_purpose": "LOCATION",
"city": "Saint George",
"state": "SC",
"postal_code": "294772059",
"country_code": "US",
"telephone_number": "800-226-8874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3039 Okatie Hwy",
"address_purpose": "LOCATION",
"city": "Okatie",
"state": "SC",
"postal_code": "299095101",
"country_code": "US",
"telephone_number": "800-226-8874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEGEMOLLER",
"first_name": "RALPH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "9700141",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "36548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "9700141",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD35648",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.