STOCKWELL REISMAN PAULK & TAYLOR PA NPI 1871549998

NPI Information

  • NPI: 1871549998
  • Provider Name: STOCKWELL REISMAN PAULK & TAYLOR PA
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Doing Business As: DIGESTIVE DISEASE CLINIC
  • CLIA Number: 10D0270132
  • Address: 2400 MICCOSUKEE RD
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 877-2105

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NPI Details

STOCKWELL REISMAN PAULK & TAYLOR PA is a gastroenterology internal medicine in Tallahassee, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. STOCKWELL REISMAN PAULK & TAYLOR PA NPI is 1871549998. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Digestive Disease Clinic.

The provider's business location address is:

2400 MICCOSUKEE RD
TALLAHASSEE, FL
ZIP 32308-314
Phone: (850) 877-2105
Fax: (850) 216-1321

The provider's authorized official is Charlotte L Madani .
The authorized official title is Business Office Manager and has the following contact phone number (850) 205-8404.

The CLIA number assigned to this NPI record is 10D0270132 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 1/12/2010.

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
1207RG0100XInternal MedicineGastroenterologyYes

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
124282MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP NUMBER
2374312800MEDICAIDFLORIDA

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: 3/30/2025

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