Peter J Stahl, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 11586 Issued in SC

Practice address

1721 Horseshoe Dr
Columbia, SC 29223-6281

Phone

(803) 779-1420

Fax

(803) 931-0676

NPI assigned

Aug 8, 2006

Last updated

Nov 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Medicine Centers of South Carolina, P.a.

  dba Woodhill Family Medicine

  • Primary Care Clinic/Center
  • Columbia, SC
  • NPI 1265525455
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1447260062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012618",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 HORSESHOE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236281",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD 11586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115869",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• London Stacy
• Sandra R Stader, PHD
• Staffmark Investments LLC (Columbia Healthcare Services)
• Sarah Frances Stafford, APN
• Stages of Healing Services
• Wendy B Stahl
• Amanda Stair, MA, LPC/A
• Stephanie Staley-Molefi
• Terrissa Asianae Staley
• Bryce C. Stallings

• Family Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.