Timothy C Stallard is a Surgical in Lenexa, Kansas. Timothy C Stallard practices all healthcare services and medical treatments related to Surgical. The NPI Number for Timothy C Stallard is 1679536148. The last update date is 2013-10-30.
Timothy C Stallard's current location address is 23401 Prairie Star Pkwy, Lenexa, Kansas. You can contact this provider via phone number 9136776319 and fax number 9136771540. The mailing address for Timothy C Stallard is 23401 Prairie Star Pkwy, Lenexa, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy C Stallard |
|---|---|
| Address | 23401 Prairie Star Pkwy, Lenexa, Kansas |
| Phone Number | 9136776319 |
| Fax Number | 9136771540 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1679536148 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2013-10-30 |
Provider Mailing Address Detail
| Address | 23401 Prairie Star Pkwy |
|---|---|
| City | Lenexa |
| State | Kansas (KS) |
| Post Code | 662277268 |
| Phone Number | 9136776319 |
| Fax Number | 9136771540 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1500547 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100365450A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy C Stallard by the Centers for Medicare & Medicaid Services?
The Timothy C Stallard has been assigned the NPI (National Provider Identifier) 1679536148 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Timothy C Stallard is physically located?
The Timothy C Stallard is physically situated at the following address: 23401 Prairie Star Pkwy, Lenexa, KS, 662277268.
What is the Timothy C Stallard's specialty and taxonomy code?
The Timothy C Stallard's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did Timothy C Stallard receive its 1679536148 assignment from the Centers for Medicare & Medicaid Services?
The Timothy C Stallard was assigned its 1679536148 on 2006-04-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Timothy C Stallard most recently updated?
The details pertaining to the Timothy C Stallard, including its address, specialty, and other relevant information, were last refreshed on 2013-10-30.