Mark Clayton Stahl, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

P9742 Issued in TX

Practice address

14615 San Pedro Ave Ste 250
San Antonio, TX 78232-4316

Phone

(210) 490-2051

NPI assigned

Jul 12, 2006

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Michigan State University College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Allergy and Asthma, PLLCGroup PAC ID 6406256684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Allergy and Asthma PLLC

  • Allergy & Immunology Physician
  • San Antonio, TX
  • NPI 1770166548
  Medicare reassignment Care Compare group NPD Authorized official
• Baylor College of Medicine

  dba BCM Physicians of San Antonio

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1285079764
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1912932476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324316",
            "telephone_number": "210-490-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324316",
            "telephone_number": "210-490-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "MARK",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P9742",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.010391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah F Stafford, PT
• Diana L Stafford, LPC
• Douglas Stafford, LMT
• Matt Scott Stafford, LCSW
• Thomas Stafford
• Monica Ann Stahl
• Pearl Zehua Stahler, AGACNP-BC
• Sarah Stahlman, PHARM.D.
• Alisha Marie Stai, LMSW
• Moira Stai

• Allergy & Immunology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.