Active NPI
Michael O Stodard, M.D.
- Family Medicine Physician
- Daphne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD34796
- Practice address
- 1208 US Highway 98
Daphne, AL 36526-4254 - Phone
- (251) 626-5377
- NPI assigned
- Jul 17, 2006
- Last updated
- Mar 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 09655 | MS | |
| Family Medicine Physician | 207Q00000X | MD34796 | AL | Primary |
Addresses
Primary practice location
1208 US Highway 98
Daphne, AL 36526-4254
Mailing address
1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730-13088 | Other | AL | BLUE CROSS BLUE SHIELD |
| 00015240 | Medicaid | MS | |
| 009965870 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1208 US Hwy 98
Daphne, AL 36526-4254
Phone (251) 626-5377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09655 | MS | MD | Emergency Medicine Physician |
| MD34796 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care by the Bay, LLC | Emergency Medicine | Current | Accepting new patients |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Family Medicine | Current | Accepting new patients |
Locations
1208 US Highway 98
Daphne, AL 36526
Phone (251) 626-5377
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
5235 Rangeline Service Rd S
#101
Mobile, AL 36619
Phone (251) 544-6449
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Daphne, AL
- NPI 1205125341
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1538187885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 US HIGHWAY 98",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264254",
"telephone_number": "251-626-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 US HIGHWAY 98",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264254",
"telephone_number": "251-626-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODARD",
"first_name": "MICHAEL",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "09655",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD34796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "730-13088",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00015240",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009965870",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.