Organization Active NPI

Donald J Stefl, DPM

  • Podiatrist
  • Roanoke, VA
National Provider Identifier
1295020980
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DONALD J STEFL, DPM
Practice address
2705 Brambleton Ave SW
Roanoke, VA 24015-4307
Phone
(540) 774-5585
Fax
(540) 774-5703
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Donald J Stefl II, DPMNPI 1427104611
Title
President/Physician
Phone
(540) 774-5585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2705 Brambleton Ave SW
Roanoke, VA 24015-4307

Mailing address

2705 Brambleton Ave SW
Roanoke, VA 24015-4307
Phone (540) 774-5585

Other identifiers 2

IdentifierTypeStateIssuer
480000047OtherVAPTAN
9301836MedicaidVA

National Provider Directory

National Provider Directory

Locations

2705 Brambleton Ave SW
Roanoke, VA 24015
Phone (540) 774-5515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1295020980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BRAMBLETON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240154307",
            "telephone_number": "540-774-5585",
            "fax_number": "540-774-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BRAMBLETON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240154307",
            "telephone_number": "540-774-5585",
            "fax_number": "540-774-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J STEFL, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "STEFL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "540-774-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "480000047",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9301836",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.