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DR. KENNETH PAUL STOLLER MD NPI 1063518967


NPI Information

NPI: 1063518967
Provider Name: DR. KENNETH PAUL STOLLER, MD
Classification: Emergency Medicine - 207PE0005X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

Address:
330 PASEO DEL PUEBLO SUR STE J
TAOS, NM
ZIP 87571
Phone: (505) 288-9155
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DR. Kenneth Paul Stoller, MD is an undersea and hyperbaric medicine emergency medicine in Taos, NM. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. DR. Kenneth Paul Stoller, MD NPI is 1063518967. 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:

330 PASEO DEL PUEBLO SUR STE J
TAOS, NM
ZIP 87571-328
Phone: (505) 288-9155

The enumeration date for this NPI number is 9/16/2006 and was last updated on 3/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0005XEmergency MedicineUndersea and Hyperbaric Medicine97382NEW MEXICOYes
2207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineA41183CALIFORNIANo
3208000000XPediatricsA41183CALIFORNIANo
4208000000XPediatrics97382NEW MEXICONo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z7406MEDICAIDNEW MEXICO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.