Active NPI
Randel T Stolee, MD
- Surgery Physician
- Perham, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35231
- Practice address
- 1000 Coney St W
Perham, MN 56573-2102 - Phone
- (218) 347-1200
- NPI assigned
- Jul 22, 2006
- Last updated
- Dec 10, 2021
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1462 | WI | |
| Surgery Physician | 208600000X | 35231 | MN | Primary |
Addresses
Primary practice location
1000 Coney St W
Perham, MN 56573-2102
Mailing address
1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1200
Other practice location 1
610 E Taylor St
Prairie Du Chien, WI 53821-2109
Phone (608) 326-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1462 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Surgery | Current | Accepting new patients |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Gundersen Clinic, LTD. | Current | Accepting new patients | |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients |
Locations
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/
- rstolee619846@direct.gundersenhealth.org
- rstolee733550@direct.gundersenhealth.org
- rstolee768278@direct.gundersenhealth.org
Organizations & group practices 6
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.
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
dba Gundersen Lutheran Eye Clinic - Hillsboro
- Optometrist
- Hillsboro, WI
- NPI 1578517140
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
dba Prairie Ridge Health Clinic-Sun Prairie
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
- Orthopaedic Surgery Physician
- Beaver Dam, WI
- NPI 1093137416
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1730100959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CONEY ST W",
"city": "PERHAM",
"state": "MN",
"postal_code": "565732102",
"telephone_number": "218-347-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CONEY ST W",
"city": "PERHAM",
"state": "MN",
"postal_code": "565732102",
"telephone_number": "218-347-1200"
}
],
"practiceLocations": [
{
"address_1": "610 E Taylor St",
"address_purpose": "LOCATION",
"city": "Prairie Du Chien",
"state": "WI",
"postal_code": "538212109",
"country_code": "US",
"telephone_number": "608-326-6466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOLEE",
"first_name": "RANDEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "1462",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "35231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.