Individual provider Active NPI

Ralph Stegemoller, MD

  • Emergency Medicine Physician
  • North Augusta, SC
National Provider Identifier
1225042799
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36548 Issued in SC
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

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9700141OtherNCMEDICAL LICENSE
MD35648OtherSCMEDICAL 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36548SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.