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DR. GARY STANLEY STOUDER NPI 1922092931


NPI Information

NPI: 1922092931
Provider Name: DR. GARY STANLEY STOUDER
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
8535 NORTH CLEARVIEW DRIVE
SUITE 200
MCCORDSVILLE, IN
ZIP 46055
Phone: (317) 335-6960
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DR. Gary Stanley Stouder is a family medicine in Mccordsville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gary Stanley Stouder NPI is 1922092931. 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:

8535 NORTH CLEARVIEW DRIVE
SUITE 200
MCCORDSVILLE, IN
ZIP 46055-055
Phone: (317) 335-6960
Fax: (317) 335-5031

The enumeration date for this NPI number is 9/6/2005 and was last updated on 10/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01027577AINDIANAYes

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
1000000396462OTHERINDIANAANTHEM PIN #
24072302OTHERINDIANAAETNA PIN #
3205110HHHMEDICARE OSCAR/CERTIFICATIONINDIANA
4100350300MEDICAIDINDIANA
5200311740J,GOTHERINDIANAMEDICAID GROUP#/LOCATION
6D95473MEDICARE UPININDIANA

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

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