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CARL E STAFSTROM MD PHD NPI 1912979196


NPI Information

NPI: 1912979196
Provider Name: CARL E STAFSTROM, MD PHD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Organization: JOHNS HOPKINS UNIVERSITY

PECOS Registration: Yes

Address:
200 N WOLFE ST
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-4259
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Carl E Stafstrom, MD PHD is a neurology with special qualifications in child neurology psychiatry neurology in Baltimore, MD with 39 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Carl E Stafstrom, MD PHD NPI is 1912979196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

200 N WOLFE ST
BALTIMORE, MD
ZIP 21287-011
Phone: (410) 955-4259

The NPI 1912979196 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.

  • Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 2/2/2006 and was last updated on 11/7/2014.


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
1208000000XPediatrics41489WISCONSINNo
22084N0400XPsychiatry & NeurologyNeurology41489WISCONSINNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyD77086MARYLANDYes

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
1073165000MEDICAIDMARYLAND
2350283YVAMEDICARE PINMARYLAND

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: 11/14/2023

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.