William G Stahl III, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301082866 Issued in MI

Practice address

1414 W Fair Ave
Suite 247
Marquette, MI 49855-2675

Phone

(906) 225-3880

Fax

(906) 225-4523

NPI assigned

May 16, 2006

Last updated

Jan 28, 2013By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Gastroenterology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U.P. Digestive Disease Associates. P.C.Group PAC ID 8527958073, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• U. P. Digestive Disease Associates, P.C.

  • Gastroenterology Physician
  • Marquette, MI
  • NPI 1700929411
  Medicare reassignment Care Compare group NPD
• U.P. Digestive Disease Associates. P.C.

  • Endoscopy Clinic/Center
  • Marquette, MI
  • NPI 1689766131
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1265484760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 247",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3880",
            "fax_number": "906-225-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 247",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3880",
            "fax_number": "906-225-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301082866",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301082866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4994550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0521096",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Spranger
• Amelia W Sramek, D.O.
• Laura St Onge, NP-C
• Krystle Stach, LMSW
• Jamie Stafford
• Greg Stalboerger
• Beth Anne-Roberts Stanaway, FNP-C, MPH
• Richard Anthony Stanchina, DDS
• Stang Family Eyecare PC
• Nancy Duquette Stang, O.D.

• Gastroenterology Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.

Verify at the official NPI Registry.