Active NPI
David Alex Stalker, MD
- Surgery Physician
- Clovis, NM
National Provider Identifier
1346299096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 87-389
- Practice address
- 233 Fairway Ter N Ste B
Clovis, NM 88101 - Phone
- (575) 762-7779
- NPI assigned
- May 9, 2006
- Last updated
- Jun 13, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 87-389 | NM | Primary |
| General Practice Physician | 208D00000X | 87-389 | NM |
Addresses
Primary practice location
233 Fairway Ter N Ste B
Clovis, NM 88101
Mailing address
PO Box 833
Clovis, NM 88102-0833
Phone (575) 762-7779
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128595101 | Other | NM | SOUTHWEST LIFE & HEALTH |
| E9226 | Medicaid | NM | |
| 10002070 | Other | NM | LOVELACE HEALTH SYSTEM |
| NM009Y93 | Other | NM | BLUE CROSS/BLUE SHIELD |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Surgery Physician
- Clovis, NM
- NPI 1275582470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1346299096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881020833",
"telephone_number": "575-762-7779",
"fax_number": "575-762-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 FAIRWAY TER N STE B",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "575-762-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALKER",
"first_name": "DAVID",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "87-389",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "87-389",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHWEST LIFE & HEALTH",
"identifier": "128595101",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E9226",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH SYSTEM",
"identifier": "10002070",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "NM009Y93",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
- Kristi Diane Spies, R.PH.
- Zamaurie Spillman
- Whitney Lauren Spinks
- Melissa Ashley Sprinkle, CNP
- St. Anthony Healthcare and Rehabilitation Center, LLC (St. Anthony Healthcare and Rehabilitation Center)
- Mark A Standley, PA-C
- Calie Stapp
- Star Communication Disorders
- Marsha Reneese Starks, RN
- Kimberly Stevenson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.