Individual provider Active NPI

Stanley Carl Paetzold, MD

  • Emergency Medicine Physician
  • Amarillo, TX
National Provider Identifier
1326129206
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K3375 Issued in TX
Practice address
2101 S Coulter St
Amarillo, TX 79106
Phone
(806) 350-7744
Fax
(806) 350-7776
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K3375 TX Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 04-46442 KS

Addresses

Primary practice location

2101 S Coulter St
Amarillo, TX 79106

Mailing address

2101 S Coulter St
Amarillo, TX 79106-2513
Phone (806) 350-7744

Other practice location 1

5800 S Coulter St
Amarillo, TX 79119-6203
Phone (806) 398-7744

Other practice location 2

5808 W 110th St
Overland Park, KS 66211-2504
Phone (913) 696-8000

Other practice location 3

2101 S Coulter St Ste 200
Amarillo, TX 79106-2513
Phone (806) 350-4477

Other practice location 4

1501 S Coulter St
Amarillo, TX 79106-1770
Phone (806) 354-1000

Other identifiers 6

IdentifierTypeStateIssuer
02320045MedicaidNM
200033590AMedicaidOK
110700503MedicaidTX
14148503OtherCAQH
04-46442OtherKSSTATE MEDICAL LICENSE
82940GOtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100526000684 TX Practitioner - Emergency Medicine 0143210120 Reassigns benefits to 6 organizations
I20240404001302 KS Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0143210120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of KS PAGroup PAC ID 4385009695, 34 clinicians

Practice addresses (Care Compare)

10310 W 63Rd St
Overland Park Regional Medical Center ER of
Shawnee, KS 66203-3502
Phone (913) 227-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3375TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Nes Southwest Medical Services Inc Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Nov 12, 2024 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 3, 2014 Accepting new patients
Ess of Lubbock, LLC Emergency Medicine CurrentSince Dec 10, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jan 15, 2015 Accepting new patients
The Children'S Mercy Hospital CurrentSince Mar 27, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 3, 2014 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
The Children'S Mercy Hospital CurrentSince Mar 27, 2024 Accepting new patients
Emergency Medicine Services of KS, PA Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Panhandle Emergency Physicians PLLC Past Accepting new patients

Locations

5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000

10310 W 63rd St
Shawnee, KS 66203
Phone (913) 227-8400

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1326129206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062513",
            "telephone_number": "806-350-7744",
            "fax_number": "806-350-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-350-7744",
            "fax_number": "806-350-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791196203",
            "country_code": "US",
            "telephone_number": "806-398-7744",
            "fax_number": "806-398-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5808 W 110th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662112504",
            "country_code": "US",
            "telephone_number": "913-696-8000",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 S Coulter St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791062513",
            "country_code": "US",
            "telephone_number": "806-350-4477",
            "fax_number": "806-350-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061770",
            "country_code": "US",
            "telephone_number": "806-354-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAETZOLD",
        "first_name": "STANLEY",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K3375",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "KS",
            "license": "04-46442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320045",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200033590A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110700503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14148503",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "04-46442",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "82940G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.