Organization Active NPI

Stadelmann Center for Plastic Surgery, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Concord, NH
National Provider Identifier
1932394376
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
11822 Issued in NH
Legal business name
STADELMANN CENTER FOR PLASTIC SURGERY, P.C.
Practice address
248 Pleasant St
Suite 201
Concord, NH 03301-2588
Phone
(602) 224-5200
Fax
(603) 224-5091
NPI assigned
Sep 10, 2007
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Wayne K. Stadelmann, M.D.NPI 1932107216
Title
President
Phone
(603) 224-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 11822 NH Primary

Addresses

Primary practice location

248 Pleasant St
Suite 201
Concord, NH 03301-2588

Mailing address

248 Pleasant St
Suite 201
Concord, NH 03301-2588
Phone (602) 224-5200

Other identifiers 2

IdentifierTypeStateIssuer
RE7067OtherNHMEDICARE INDIVIDUAL PROV#
RE7068OtherNHMEDICARE GROUP PROV#

Other names 1

  • Wayne K. Stadelmann, M.D. Other name

National Provider Directory

National Provider Directory

Locations

248 Pleasant St
Ste 201
Concord, NH 03301
Phone (603) 224-1990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1932394376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "602-224-5200",
            "fax_number": "603-224-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "602-224-5200",
            "fax_number": "603-224-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADELMANN CENTER FOR PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "STADELMANN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-224-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NH",
            "license": "11822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROV#",
            "identifier": "RE7067",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROV#",
            "identifier": "RE7068",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne K. Stadelmann, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.