E. Stanley Rodier, M.D.,Frcpc,Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G33957 Issued in CA

Legal business name

E. STANLEY RODIER, M.D.,FRCPC,INC

Practice address

15725 Pomerado Rd
Suite 108
Poway, CA 92064-2068

Phone

(858) 485-8111

Fax

(858) 485-9926

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Elena Stemmler

Title

Billing Manager

Phone

(619) 258-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1376757625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-485-8111",
            "fax_number": "858-485-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-485-8111",
            "fax_number": "858-485-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. STANLEY RODIER, M.D.,FRCPC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "STEMMLER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "619-258-6200"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G33957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Poway, CA
• Providers in Poway, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.