Mark M Stolpe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-9741 Issued in ID

Practice address

1907 S Broadway Ave # 101
Boise, ID 83706-4201

Phone

(208) 345-1222

Fax

(208) 345-1261

NPI assigned

Mar 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1821065368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S BROADWAY AVE # 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064201",
            "telephone_number": "208-345-1222",
            "fax_number": "208-345-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S BROADWAY AVE # 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064201",
            "telephone_number": "208-345-1222",
            "fax_number": "208-345-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLPE",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-9741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80761300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destinee Rose Stoeger, LMSW
• Brek David Stoker, AUD, CCC-A
• Shelley Stoker, PHARMD
• Jevyn Charles Stokes, PHARMD
• Makenna Stolp, LPC
• Nicole Stoltzfus
• Mary Stone-Arave, NP
• Cally R Stone, MS,CCC-SLP
• Gail Jeannette Stone, FNP
• Janine Ann Stone, MD

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.