John P Stella, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00016143 Issued in WA

Practice address

1751 Gardner Way
Suite B
Wasilla, AK 99654-6513

Phone

(907) 357-1220

Fax

(907) 357-1222

NPI assigned

Jul 21, 2006

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 3

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 and National Provider Directory roles.

• Valley Imaging

  • Radiology Clinic/Center
  • Yakima, WA
  • NPI 1093750614
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508887019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "SUITE 6, PMB 343",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777725",
            "telephone_number": "907-726-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 GARDNER WAY",
            "address_2": "SUITE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546513",
            "telephone_number": "907-357-1220",
            "fax_number": "907-357-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLA",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00016143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8448516",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9522",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "N2018",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jean Staveland, MSW, LCSW
• Katelyn Stearns, PA-C
• Ashley Steele
• Susan Lynn Steffans, D.O.
• Kirsty Stein
• Heidi Ann Stelzer
• William S Stemmons, NPFCA-MBA
• Stephanie Hamilton
• Kimberly Stephens, LPC
• Prissy Ann Stephens

• Diagnostic Radiology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Diagnostic Radiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.