Active NPI
Ian Douglas Stamps, M.D.
- Neurology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01082339A
- Practice address
- 6211 Waterford Blvd
Evansville, IN 47715-2869 - Phone
- (812) 465-6202
- Fax
- (812) 474-3621
- NPI assigned
- Jun 2, 2015
- Last updated
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018259A | IN | |
| Neurology Physician | 2084N0400X | 01082339A | IN | Primary |
Addresses
Primary practice location
6211 Waterford Blvd
Evansville, IN 47715-2869
Mailing address
6211 Waterford Blvd
Evansville, IN 47715-2869
Phone (812) 465-6202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Indiana University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943
600 W 13TH St
Jasper, IN 47546-1881
Phone (812) 996-5781
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Neurology | Current | Accepting new patients |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Past | Accepting new patients | |
| University Physiatric Associates, Inc. | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
Interoperability endpoints
- istamps@mhhcc.gwaydirect.com
Organizations & group practices 8
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.
-
dba Memorial Healthcare of Huntingburg
- Emergency Medicine Physician
- Huntingburg, IN
- NPI 1114120128
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
dba Deaconess Comprehensive Pain Management - Jasper
- Pain Medicine Physician
- Jasper, IN
- NPI 1457164543
-
dba Memorial Hospital and HealthCare Center
- Hospitalist Physician
- Jasper, IN
- NPI 1588778518
-
dba Memorial Neurology Associates
- Neurology Physician
- Jasper, IN
- NPI 1730712670
-
- Gastroenterology Physician
- Jasper, IN
- NPI 1831980614
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
- Physical Medicine & Rehabilitation Physician
- Indianapolis, IN
- NPI 1922059583
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1255711537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 WATERFORD BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152869",
"telephone_number": "812-465-6202",
"fax_number": "812-474-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 WATERFORD BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152869",
"telephone_number": "812-465-6202",
"fax_number": "812-474-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMPS",
"first_name": "IAN",
"middle_name": "DOUGLAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018259A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01082339A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- 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.