DR. JACQUELENN MARIE STUHLDREHER MD NPI 1952563728

NPI Information

NPI: 1952563728
Provider Name: DR. JACQUELENN MARIE STUHLDREHER, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
3000 COLISEUM DR STE 100
HAMPTON, VA
ZIP 23666
Phone: (757) 736-7250
Get Directions

DR. Jacquelenn Marie Stuhldreher, MD is a vascular surgery surgery in Hampton, VA with 16 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jacquelenn Marie Stuhldreher, MD NPI is 1952563728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

3000 COLISEUM DR STE 100
HAMPTON, VA
ZIP 23666-963
Phone: (757) 736-7250
Fax: (757) 224-2198

The NPI 1952563728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 10/9/2020.

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	2086S0129X	Surgery	Vascular Surgery	35.121246	OHIO	No
2	2086S0129X	Surgery	Vascular Surgery	0101266205	VIRGINIA	Yes
3	2086S0129X	Surgery	Vascular Surgery	35121246	OHIO	No

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	0384878	MEDICAID	OHIO

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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