Organization Active NPI

David B. Stoll,MD, LTD

  • Hematology & Oncology Physician
  • Woonsocket, RI
National Provider Identifier
1851597033
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
DAVID B. STOLL,MD, LTD
Practice address
55 Hamlet Ave
Woonsocket, RI 02895-4432
Phone
(401) 766-9500
Fax
(401) 766-7464
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Donna M Driscoll
Title
Office Manager
Phone
(401) 766-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

55 Hamlet Ave
Woonsocket, RI 02895-4432

Mailing address

55 Hamlet Ave
Woonsocket, RI 02895-4432
Phone (401) 766-9500

Other identifiers 2

IdentifierTypeStateIssuer
002191OtherRIBLUE CHIP
9000444MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000407 RI Part B Supplier - Clinic/Group Practice 9436223872 Receives reassigned benefits from 1 practitioner
Practice locations: Woonsocket, RI

National Provider Directory

National Provider Directory

Locations

55 Hamlet Ave
Woonsocket, RI 02895
Phone (401) 766-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1851597033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HAMLET AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954432",
            "telephone_number": "401-766-9500",
            "fax_number": "401-766-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HAMLET AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954432",
            "telephone_number": "401-766-9500",
            "fax_number": "401-766-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. STOLL,MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-766-9500"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "002191",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000444",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.