Active NPI
Thomas W. Stohrer, MD
- Diagnostic Radiology Physician
- New Bern, NC
National Provider Identifier
1619959459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34170
- Practice address
- 720 Newman Rd
New Bern, NC 28562-5238 - Phone
- (252) 633-5057
- Fax
- (252) 633-0084
- NPI assigned
- Nov 17, 2005
- Last updated
- Nov 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34170 | NC | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 34170 | NC | |
| Body Imaging Physician | 2085B0100X | 34170 | NC | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 34170 | NC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 34170 | NC | |
| Neuroradiology Physician | 2085N0700X | 34170 | NC | |
| Nuclear Radiology Physician | 2085N0904X | 34170 | NC | |
| Pediatric Radiology Physician | 2085P0229X | 34170 | NC | |
| Radiation Oncology Physician | 2085R0001X | 34170 | NC | |
| Radiological Physics Physician | 2085R0205X | 34170 | NC | |
| Therapeutic Radiology Physician | 2085R0203X | 34170 | NC | |
| Nuclear Medicine Physician | 207U00000X | 34170 | NC |
Addresses
Primary practice location
720 Newman Rd
New Bern, NC 28562-5238
Mailing address
PO Box 12065
New Bern, NC 28561-2065
Phone (252) 633-5057
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8980203 | Medicaid | NC | |
| C5185 | Other | NC | MEDCOST |
| 148125 | Other | NC | VYTRA |
| 760158 | Other | NC | MAMSI |
| 80203 | Other | NC | BCBS OF NC |
| 153000500 | Other | NC | DOL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34170 | NC | MD | Pediatric Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1619959459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12065",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285612065",
"telephone_number": "252-633-5057",
"fax_number": "252-633-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-633-5057",
"fax_number": "252-633-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOHRER",
"first_name": "THOMAS",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "34170",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NC",
"license": "34170",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NC",
"license": "34170",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8980203",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C5185",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "148125",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "760158",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "80203",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "153000500",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.