Individual provider Active NPI

Elizabeth N. Stobbe, M.D.

  • Internal Medicine Physician
  • Hollister, MO
National Provider Identifier
1609874262
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2000165371 Issued in MO
Practice address
33 Gage Dr
Jordan Valley Community Health Center
Hollister, MO 65672-5862
Phone
(417) 334-8300
Fax
(417) 334-8384
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2000165371 MO Primary

Addresses

Primary practice location

33 Gage Dr
Jordan Valley Community Health Center
Hollister, MO 65672-5862

Mailing address

33 Gage Dr
Jordan Valley Community Health Center
Hollister, MO 65672-5862
Phone (417) 334-8300

Other identifiers 1

IdentifierTypeStateIssuer
205138100MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000532 MO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 7517969553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC CurrentSince Oct 5, 2020 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Oct 5, 2020 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Internal Medicine Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

2840 W Clay St
Saint Charles, MO 63301
Phone (636) 724-0829

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1609874262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GAGE DR",
            "address_2": "JORDAN VALLEY COMMUNITY HEALTH CENTER",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725862",
            "telephone_number": "417-334-8300",
            "fax_number": "417-334-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GAGE DR",
            "address_2": "JORDAN VALLEY COMMUNITY HEALTH CENTER",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725862",
            "telephone_number": "417-334-8300",
            "fax_number": "417-334-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBBE",
        "first_name": "ELIZABETH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000165371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205138100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, MO

Sources for this page

Verify at the official NPI Registry.