Charles Blanchard Stoer MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHARLES BLANCHARD STOER MD PA

Practice address

4525 SW 13TH St
Gainesville, FL 32608-3901

Phone

(352) 377-8619

Fax

(352) 371-9674

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Blanchard Stoer, MDNPI 1164550232

Title

Physician

Phone

(352) 377-8619

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Blanchard Stoer, MD

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1164550232
  Medicare reassignment Care Compare group NPD Authorized official
• Ming Hua Lee, M.D.

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1669834495

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Adam V Ping, PA-C

  • Medical Physician Assistant
  • Gainesville, FL
  • NPI 1669482865
  Medicare reassignment Care Compare group
• Jennifer Ellen Thompson, PA-C

  • Physician Assistant
  • Gainesville, FL
  • NPI 1497709406
  Medicare reassignment Care Compare group
• Bianca Rhea Villafuerte Scicchitano, MMS, PA-C

  • Medical Physician Assistant
  • Gainesville, FL
  • NPI 1285213900
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1437325875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083901",
            "telephone_number": "352-377-8619",
            "fax_number": "352-371-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083901",
            "telephone_number": "352-377-8619",
            "fax_number": "352-371-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES BLANCHARD STOER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "STOER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BLANCHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-377-8619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103783",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1942732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO4107",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "003FQ",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9642865",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justina Kay Chappell, ARNP
• Trina Ann Chappell, APRN
• Nikita Chapurin, M.D
• Charity First, Inc
• Charlene Rene Consulting LLC
• Charles E Graper MD DDS PA
• Charles E Graper MD DDS PA
• Charles F Nardi M D P a
• Charles R. Martin, PH.D., LLC
• Charles T. Tucker DC, PA

• Dermatology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.