DR. JEFFREY R. STALL M.D. NPI 1427042662

NPI Information

NPI: 1427042662
Provider Name: DR. JEFFREY R. STALL, M.D.
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

Address:
275 ROUTE 30 N
BOMOSEEN, VT
ZIP 05732
Phone: (802) 468-5641
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DR. Jeffrey R. Stall, M.D. is an infectious disease internal medicine in Bomoseen, VT. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DR. Jeffrey R. Stall, M.D. NPI is 1427042662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

275 ROUTE 30 N
BOMOSEEN, VT
ZIP 05732-647
Phone: (802) 468-5641
Fax: (802) 468-2923

The enumeration date for this NPI number is 9/2/2005 and was last updated on 8/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		042-0011846	VERMONT	No
2	207RI0200X	Internal Medicine	Infectious Disease	042-0011846	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01021086	OTHER	VERMONT	RR MEDICARE
2	C67078	MEDICARE UPIN
3	001275101	MEDICARE PIN	VERMONT
4	1016730	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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