Active NPI
David J Stansfield DO LLC
- Family Medicine Physician
- Hillsboro, MO
National Provider Identifier
1619207289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R1304
- Legal business name
- DAVID J STANSFIELD DO LLC
- Practice address
- 10279 Business 21
Hillsboro, MO 63050-3598 - Phone
- (636) 789-3941
- Fax
- (636) 789-5603
- NPI assigned
- Jan 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen L Stansfield
- Title
- Business Manager
- Phone
- (636) 789-3941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R1304 | MO | Primary |
Addresses
Primary practice location
10279 Business 21
Hillsboro, MO 63050-3598
Mailing address
10279 Business 21
Hillsboro, MO 63050-3598
Phone (636) 789-3941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241985233 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10279 Business 21
Hillsboro, MO 63050
Phone (636) 677-6200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hillsboro, MO
- NPI 1619963253
-
- Medical Physician Assistant
- Hillsboro, MO
- NPI 1538618285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1619207289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10279 BUSINESS 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630503598",
"telephone_number": "636-789-3941",
"fax_number": "636-789-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10279 BUSINESS 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630503598",
"telephone_number": "636-789-3941",
"fax_number": "636-789-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J STANSFIELD DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "STANSFIELD",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "636-789-3941"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "R1304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241985233",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.