Active NPI
Stella Beauchemin, MD
- Specialist
- Baltimore, MD
National Provider Identifier
1770663270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0047468
- Practice address
- 5601 Loch Raven Blvd
Prof Office BLG Suite #402
Baltimore, MD 21239-2905 - Phone
- (410) 464-5700
- Fax
- (410) 464-5701
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | D0047468 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Prof Office BLG Suite #402
Baltimore, MD 21239-2905
Mailing address
PO Box 20089
Baltimore, MD 21284-0089
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0047468 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aung & Casasnovas, M.D.,PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1467646687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770663270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20089",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212840089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "PROF OFFICE BLG SUITE #402",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-464-5700",
"fax_number": "410-464-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHEMIN",
"first_name": "STELLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0047468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.