Ellamae Stadnick, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A117578 Issued in CA

Practice address

300 Pasteur Drive
Cardiovascular Falk Building
Stanford, CA 94305

Phone

(650) 380-3766

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1811279326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SHARON PARK DR",
            "address_2": "N-107",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256849",
            "telephone_number": "650-380-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "address_2": "CARDIOVASCULAR FALK BUILDING",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-380-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNICK",
        "first_name": "ELLAMAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A117578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malathi Srinivasan, M.D.
• Annapurni Parameswar Sriram, MD
• Sucheta Anand Srivastava, M.D.
• Marissa Elizabeth St. Joan, PA
• Keira Stacks
• Randall Scott Stafford, MD, PHD
• David Lawrence Stahl, M.D.
• Dominique Stall, NP
• Lily Aileen Stander, NP
• Jeremy Lee Stanek, MD

• Cardiovascular Disease Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.