Dale R Stierwalt MD PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

00013506 Issued in AL

Legal business name

DALE R STIERWALT MD PC

Practice address

1618 Gault Ave N
Fort Payne, AL 35967-3328

Phone

(256) 845-1311

Fax

(256) 845-1346

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dale R Stierwalt, M.D.NPI 1144204843

Title

Owner-MD

Phone

(256) 845-1311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale Ray Stierwalt, MD

  • Family Medicine Physician
  • Fort Payne, AL
  • NPI 1144204843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235295627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673328",
            "telephone_number": "256-845-1311",
            "fax_number": "256-845-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673328",
            "telephone_number": "256-845-1311",
            "fax_number": "256-845-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R STIERWALT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STIERWALT",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER-MD",
        "authorized_official_telephone_number": "256-845-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "00013506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crowne Health Care of Fort Payne, LLC
• Luz Jovita Crystal, MD
• Janna Kay Culpepper, CRNP
• Angela Aurora Cunningham, NP-C
• Christa Lillieann Curtis, DC
• Haley Brooke Dalton, CRNP
• William Davenport III, CSFA
• Dekalb Anesthesia Associates, LLC
• Dekalb County Health Dept Adult Immun
• Dekalb County Health Dept AIDS

• Preferred Provider Organization in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Preferred Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.