Individual provider Active NPI

James L Stammer, M.D.

  • Specialist
  • Edmond, OK
National Provider Identifier
1316042633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11162 Issued in OK
Practice address
3401 Ridgewood Dr
Edmond, OK 73013-8072
Phone
(405) 285-6601
Fax
(405) 285-0957
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11162 OK Primary

Addresses

Primary practice location

3401 Ridgewood Dr
Edmond, OK 73013-8072

Mailing address

3401 Ridgewood Dr
Edmond, OK 73013-8072
Phone (405) 285-6601

Other identifiers 3

IdentifierTypeStateIssuer
P00140135OtherOKRAILROAD MEDICARE
432045417OtherOKTAX IDENTIFICATION NUMBER
100248990AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11162OKMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nemri Medical Services, Inc. Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Southwest Gastroenterology Associates PLLC PastSince Dec 3, 2017 Accepting new patients
The Physician Network Past Accepting new patients
James L. Stammer, MD PastSince Mar 6, 2004 Accepting new patients
Nick Knutson MD, a Professional Corporation Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316042633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 RIDGEWOOD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138072",
            "telephone_number": "405-285-6601",
            "fax_number": "405-285-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 RIDGEWOOD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138072",
            "telephone_number": "405-285-6601",
            "fax_number": "405-285-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMMER",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "11162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00140135",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "432045417",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.