Individual provider Active NPI

Martin Nikolaus Stienen, MD

  • Neurological Surgery Physician
  • Stanford, CA
National Provider Identifier
1912482365
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
F564 Issued in CA
Practice address
Department of Neurosurgery,Stanford University Hospital
300 Pasteur Drive, Edwards BLDG., RM R209
Stanford, CA 94305
Phone
(650) 721-3972
NPI assigned
Oct 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X F564 CA Primary

Addresses

Primary practice location

Department of Neurosurgery,Stanford University Hospital
300 Pasteur Drive, Edwards BLDG., RM R209
Stanford, CA 94305

Mailing address

300 Pasteur Drive, Edwards BLDG., RM. R209
Department of Neurosurgery & Neurology
Stanford, CA 94305
Phone (650) 721-3972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F564CAMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1912482365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE, EDWARDS BLDG., RM. R209",
            "address_2": "DEPARTMENT OF NEUROSURGERY & NEUROLOGY",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-721-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF NEUROSURGERY,STANFORD UNIVERSITY HOSPITAL",
            "address_2": "300 PASTEUR DRIVE, EDWARDS BLDG., RM R209",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-721-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIENEN",
        "first_name": "MARTIN",
        "middle_name": "NIKOLAUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "F564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.