Active NPI
Stephanie Diane Bauerle, D.O.
- Internal Medicine Physician
- Union, MO
National Provider Identifier
1699834739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2006015211
- Practice address
- 1780 Old US Highway 50 E
Suite 115
Union, MO 63084-3397 - Phone
- (636) 583-8555
- Fax
- (636) 583-8559
- NPI assigned
- Dec 6, 2006
- Last updated
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2006015211 | MO | Primary |
Addresses
Primary practice location
1780 Old US Highway 50 E
Suite 115
Union, MO 63084-3397
Mailing address
320 Buckhurst Dr
Ballwin, MO 63021-8346
Phone (636) 527-9141
Other names 1
- Dr. Stephanie Diane Danieley
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006015211 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists, PC | Past | Accepting new patients | |
| Inpatient Consultants of Missouri Inc | Internal Medicine | Past | Accepting new patients |
| Tennessee Health Partners LLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/HEJBAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Union, MO
- NPI 1689890394
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1063483816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1699834739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 BUCKHURST DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630218346",
"telephone_number": "636-527-9141",
"fax_number": "636-527-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 OLD US HIGHWAY 50 E",
"address_2": "SUITE 115",
"city": "UNION",
"state": "MO",
"postal_code": "630843397",
"telephone_number": "636-583-8555",
"fax_number": "636-583-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUERLE",
"first_name": "STEPHANIE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2006015211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "DANIELEY",
"middle_name": "DIANE",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Union, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.