Don F. Stallman MD
Organization Active NPI General Practice Physician · Kendallville, IN
NPI 1831466085 · NPPES record last updated Feb 21, 2012
Key facts
- NPI
- 1831466085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 01027870 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Don F Stallman, MD
- Title
- MD
- Phone
- (260) 347-2854
National Provider Directory
Locations
409 E Wayne St
Kendallville, IN 46755
Phone (260) 347-2854
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | 01027870 | IN | |
| General Practice Physician |
208D00000X | 01027870 | IN | Yes |
Addresses
Primary practice location
409 E Wayne St
Kendallville, IN 46755-1459
Mailing address
409 E Wayne St
Kendallville, IN 46755-1459
Phone (260) 347-2854
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108772 | Other | BLACK LUNG | |
| P00011664 | Other | RAILROAD | |
| 4105386 | Other | AETNA | |
| 100190840 | Medicaid | IN | |
| 1892 | Other | PHP | |
| 0000000258973 | Other | ANTHEM BC-REG | |
| 0000000282834 | Other | ANTHEM BCBS | |
| 312507650 | Other | CIGNA |
Other providers in Kendallville, IN
- Deanna Murphy Demaree
- Julie Lynn Desper
- Patricia Dingman
- Directclinic SBC, LLC
- Michelle M Diss
- Dandrae Douse
- Angela Dove
- DRS. Roush & Will Optometrists Inc
- DRS. Roush & Will Optometrists, Inc.
- Kiersa Diane Durfee
All providers in Kendallville, IN · General Practice Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.