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PAUL T STALLMAN MD NPI 1336120005


NPI Information

NPI: 1336120005
Provider Name: PAUL T STALLMAN, MD
Classification: Ophthalmology - 207WX0200X
Entity Type: Individual

Specialization: Ophthalmic Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2 JAMES WAY
SUITE 203
PISMO BEACH, CA
ZIP 93449
Phone: (805) 481-3733
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Paul T Stallman, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Pismo Beach, CA with 34 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Paul T Stallman, MD NPI is 1336120005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1990

The provider's business location address is:

2 JAMES WAY
SUITE 203
PISMO BEACH, CA
ZIP 93449-973
Phone: (805) 481-3733
Fax: (805) 489-7376

The NPI 1336120005 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 11/9/2005 and was last updated on 10/18/2017.


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
1207W00000XOphthalmologyG81743CALIFORNIANo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryG81743CALIFORNIAYes

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
1F83774MEDICARE UPINCALIFORNIA
2WG81743GMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PPIN
3G81743OTHERCALIFORNIABLUE CROSS
400G817430OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
5P00162007MEDICARE PIN

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.