RUSSELL FRANK STAHL MD NPI 1760478242

NPI Information

  • NPI: 1760478242
  • Provider Name: RUSSELL FRANK STAHL, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 920 DOUG WHITE DR STE 420
    MYRTLE BEACH, SC
    ZIP 29572
  • Phone: (843) 497-7772

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NPI Details

Russell Frank Stahl, MD is a specialist in Myrtle Beach, SC with 43 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Russell Frank Stahl, MD NPI is 1760478242. 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:

920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC
ZIP 29572-182
Phone: (843) 497-7772
Fax: (843) 848-7530

The NPI 1760478242 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.

  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Exclusion of appendage of left upper chamber of heart performed during other procedure on chest (HCPCS:33268)
  • Ultrasonic guidance during surgery (HCPCS:76998)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Harvest of arm artery segment for heart byplass procedure (HCPCS:35600)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 9/21/2005 and was last updated on 8/5/2025.

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
1174400000XSpecialist97608GEORGIANo
2174400000XSpecialistMD-033209EPENNSYLVANIANo
3174400000XSpecialist39914SOUTH CAROLINAYes

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
10016335280009MEDICAIDPENNSYLVANIA
201633528MEDICAIDPENNSYLVANIA

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: 11/21/2025

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