Active NPI
Stanley J Stutz, M.D.
- Emergency Medicine Physician
- Willimantic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 220558
- Practice address
- 112 Mansfield Ave
Willimantic, CT 06226-2045 - Phone
- (860) 456-9116
- NPI assigned
- Oct 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 220558 | MA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 050575 | CT |
Addresses
Primary practice location
112 Mansfield Ave
Willimantic, CT 06226-2045
Mailing address
185 High Wood Dr
South Glastonbury, CT 06073-2908
Phone (617) 939-6413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.01 of 100
- Quality
- 71.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050575 | CT | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Interoperability endpoints
- stanley.stutz@xdr.hhchealthdirect.org
Organizations & group practices 14
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.
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1154425288
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1114482882
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1760325666
-
- Psychiatric Hospital Unit
- Meriden, CT
- NPI 1316022718
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1689763252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 HIGH WOOD DR",
"city": "SOUTH GLASTONBURY",
"state": "CT",
"postal_code": "060732908",
"telephone_number": "617-939-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MANSFIELD AVE",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262045",
"telephone_number": "860-456-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZ",
"first_name": "STANLEY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "220558",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CT",
"license": "050575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.