James Gayle Stoufflet Jr., MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5546

Phone

(937) 257-9700

NPI assigned

Oct 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315699200000",
    "number": "1790094100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUFFLET",
        "first_name": "JAMES",
        "middle_name": "GAYLE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-02",
        "last_updated": "2011-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Stanton, DPM
• James Clyde Staup Jr., DDS
• Addison Gregory Stemmer, IDMT
• Susanne Stewart, LD/CDE
• Daniel James Arthur Stone, PT, DPT
• David William Streeter, PHARMD
• Rian Suihkonen, DDS
• David Paul Supinski Jr., P.A.
• Majelle Elizabeth Susler, DDS
• Laura Louise Swanson, OD

• Physician Assistant in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.