Individual provider Active NPI

Jason Noah Stamper, D.O.

  • Psychiatry Physician
  • Pikeville, KY
National Provider Identifier
1780635250
Registry record updated Jun 11, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jun 19, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02798 Issued in KY
Practice address
35 Flora St
Pikeville, KY 41501-3221
Phone
(000) 000-0000
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02798 KY
Psychiatry Physician 2084P0800X 02798 KY Primary

Addresses

Primary practice location

35 Flora St
Pikeville, KY 41501-3221

Mailing address

35 Flora St
Pikeville, KY 41501-3221

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02798KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Charles Bensenhaver III LLC CurrentSince Jan 31, 2023 Accepting new patients
Wellstar Medical Group, LLC Psychiatry Past Accepting new patients
Wellstar Psychiatry, LLC Psychiatry Past Accepting new patients

Locations

3430 Newburg Rd
Ste 210
Louisville, KY 40218
Phone (502) 225-4900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1780635250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FLORA ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FLORA ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013221",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "JASON",
        "middle_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02798",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "02798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.