Don F. Stallman MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01027870 Issued in IN

Legal business name

DON F. STALLMAN MD

Practice address

409 E Wayne St
Kendallville, IN 46755-1459

Phone

(260) 347-2854

Fax

(260) 347-3863

NPI assigned

Nov 16, 2011

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Don F Stallman, MD

Title

MD

Phone

(260) 347-2854

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1831466085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E WAYNE ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551459",
            "telephone_number": "260-347-2854",
            "fax_number": "260-347-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E WAYNE ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551459",
            "telephone_number": "260-347-2854",
            "fax_number": "260-347-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON F. STALLMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "STALLMAN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "260-347-2854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01027870",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": "01027870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Kendallville, IN
• Providers in Kendallville, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.