Stell Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

019384 Issued in LA

Legal business name

STELL FAMILY PRACTICE

Practice address

102 Office Park Dr
Minden, LA 71055-3086

Phone

(318) 377-2885

Fax

(318) 377-2886

NPI assigned

Jan 18, 2007

Last updated

May 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald M Stell, MDNPI 1134167877

Title

Proprietor

Phone

(318) 377-2885

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Max Stell, MD

  • Family Medicine Physician
  • Minden, LA
  • NPI 1134167877
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1386796175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OFFICE PARK DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553086",
            "telephone_number": "318-377-2885",
            "fax_number": "318-377-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OFFICE PARK DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553086",
            "telephone_number": "318-377-2885",
            "fax_number": "318-377-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "STELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "318-377-2885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "019384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin E Soleto, MD
• Janet Renee Spalding, RN
• Shannon Dawn Spigener, MD
• Derrell R Spurlock II, OD
• Sr Minden LLC (Southern Roots Dentistry)
• Gerald Max Stell, MD
• Kaleigh Marie Stephenson, FNP-C
• Angelisa Strayhan
• Stronghold, LLC
• Sunderland Chiropractic L.L.C

• Primary Care Clinic/Center in Minden, LA
• Providers in Minden, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.