Active NPI
Ray Emerson Stahl Jr., MD
- Surgery Physician
- Mountain Home, AR
National Provider Identifier
1952318271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R2766
- Practice address
- 901 Burnett Dr
Mountain Home, AR 72653-2908 - Phone
- (870) 425-9120
- Fax
- (870) 424-4470
- NPI assigned
- Aug 1, 2006
- Last updated
- Aug 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R2766 | AR | Primary |
Addresses
Primary practice location
901 Burnett Dr
Mountain Home, AR 72653-2908
Mailing address
901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101035001 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R2766 | AR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1952318271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532908",
"telephone_number": "870-425-9120",
"fax_number": "870-424-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532908",
"telephone_number": "870-425-9120",
"fax_number": "870-424-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHL",
"first_name": "RAY",
"middle_name": "EMERSON",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "R2766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101035001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
- John Michael Spore, MD
- Springfield Neurological and Spine Institute
- Springfield Neurological and Spine Institute
- Springfield Neurological and Spine Institute
- Stacey M Johnson MD PA (Physicians Medical Center of the Ozarks)
- Paula A Stapleton, LCSW
- Starcare of Arkansas
- State Line Surgical Services, LLC
- State of Arkansas (Baxter County Health Unit)
- Kristi Varnado Steelman, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.