Organization Active NPI

Stuart W Mauch MD P.C.

  • Internal Medicine Physician
  • Belleville, IL
National Provider Identifier
1659433522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STUART W MAUCH MD P.C.
Practice address
333 S Illinois St
Suite a
Belleville, IL 62220-2153
Phone
(618) 277-4888
Fax
(618) 277-1190
NPI assigned
Dec 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stuart W Mauch Jr., MD
Title
PC
Phone
(618) 277-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

333 S Illinois St
Suite a
Belleville, IL 62220-2153

Mailing address

333 S Illinois St
Suite a
Belleville, IL 62220-2153
Phone (618) 277-4888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659433522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S ILLINOIS ST",
            "address_2": "SUITE A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202153",
            "telephone_number": "618-277-4888",
            "fax_number": "618-277-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S ILLINOIS ST",
            "address_2": "SUITE A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202153",
            "telephone_number": "618-277-4888",
            "fax_number": "618-277-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART W MAUCH MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUCH",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "618-277-4888",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.