DR. STEVEN MARSHALL STUFFLEBEAM MD NPI 1922082932

NPI Information

NPI: 1922082932
Provider Name: DR. STEVEN MARSHALL STUFFLEBEAM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
55 FRUIT STREET FND2
RADIOLOGICAL ASSOCIATES
BOSTON, MA
ZIP 02114
Phone: (617) 726-0963
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DR. Steven Marshall Stufflebeam, MD is a diagnostic radiology radiology in Boston, MA with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Steven Marshall Stufflebeam, MD NPI is 1922082932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

55 FRUIT STREET FND2
RADIOLOGICAL ASSOCIATES
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-0963
Fax: (617) 726-7422

The NPI 1922082932 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 12/2/2005 and was last updated on 8/9/2012.

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	2085R0202X	Radiology	Diagnostic Radiology	212768	MASSACHUSETTS	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	J24621	OTHER	MASSACHUSETTS	BCBS MA
2	A35000	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	212768	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
4	H77861	MEDICARE UPIN
5	0191019	MEDICAID	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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