Individual provider Active NPI

Victoria M. Stoeppler, M.D.

  • Pediatrics Physician
  • Aiken, SC
National Provider Identifier
1720080104
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10152 Issued in SC
Practice address
1000 Clyburn PL
Aiken, SC 29801-4193
Phone
(803) 649-0578
Fax
(803) 649-2788
NPI assigned
Aug 15, 2005
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10152 SC Primary

Addresses

Primary practice location

1000 Clyburn PL
Aiken, SC 29801-4193

Mailing address

139 Barnard Ave SE
Aiken, SC 29801-7203
Phone (803) 649-4245

Other identifiers 1

IdentifierTypeStateIssuer
101525MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710001551 SC Practitioner - Pediatric Medicine 9335031178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1720080104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BARNARD AVE SE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298017203",
            "telephone_number": "803-649-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-649-0578",
            "fax_number": "803-649-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEPPLER",
        "first_name": "VICTORIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "10152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101525",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.