Wayne K. Stadelmann, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

RE7068 Issued in NH

Practice address

246 Pleasant St
Suite 210
Concord, NH 03301-2588

Phone

(603) 224-5200

Fax

(603) 224-5091

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Stadelmann Center for Plastic Surgery, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Concord, NH
  • NPI 1932394376
  NPD (past) Authorized official
• University Physicians Group - Radiology

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1619061116
  NPD (past)
• University Surgical Associates, PSC

  • Surgery Physician
  • Louisville, KY
  • NPI 1609847367

  Plastic and Reconstructive Surgery

  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1932107216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "SUITE 210",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-5200",
            "fax_number": "603-224-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "SUITE 210",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-5200",
            "fax_number": "603-224-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADELMANN",
        "first_name": "WAYNE",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NH",
            "license": "RE7068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932107216",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael St. John
• Carole A St. Onge, APRN
• Sarah Elizabeth St.Laurent, OTR/L
• Cooper Brian Stacey, MD
• Stadelmann Center for Plastic Surgery, P.C.
• Melanie Stahley
• Samantha Standley
• Rachel Stanhope, MS, BCBA
• Eric J Stanley, LICSW
• Patrick Stap, BA

• Plastic and Reconstructive Surgery Physician in Concord, NH
• Providers in Concord, NH by specialty
• Plastic and Reconstructive Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.