Dr. Kristin V Stahl
M.D | Pediatric Adolescent Medicine | Female
Dr. Kristin V Stahl, M.D is a Collinsville, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Kristin V Stahl is
101 United Dr, Suite 110, Collinsville, Illinois - 62234-7428. She can be contacted on phone at
618-855-9041 and fax number 618-855-9046.
Dr. Kristin V Stahl is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kristin V Stahl is
1942369145 which was assigned by NPPES on 06 Dec, 2006 and it was last updated on 06 Dec, 2021.
Dr. Kristin V Stahl license number is
036100294 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Dr. Kristin V Stahl specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kristin V Stahl basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Kristin V Stahl |
|---|
| Credential : | M.D |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Kristin V Stahl address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 101 United Dr, Suite 110
Collinsville, IL, 62234-7428
United States |
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| Phone Number : | 618-855-9041 |
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| Fax Number : | 618-855-9046 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942369145 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Dec, 2006 |
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| Last Updated On : | 06 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kristin V Stahl are as mentioned. Primary taxonomy code for Dr. Kristin V Stahl, M.D is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036100294 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kristin V Stahl such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 164815 | Other | IL | GHP OPEN ACCESS |
| 205323819 | Other | IL | MISSOURI MEDICAID |
| 6032067 | Other | IL | ALLIANCE CHOICE |
| 036100294-3 | MEDICAID | IL | |
| 164815 | Other | IL | GHP HMO |
| 1202462 | Other | IL | UNITED HEALTHCARE |
| 6032067 | Other | IL | BC BS OF ILLINOIS |
| 6032067 | Other | IL | BC BS OF ILLINOIS FEDERAL |
| PC19811 | Other | IL | CIGNA |
| 050558664 | Other | IL | GREAT WEST |
| 412708 | Other | IL | HEALTHLINK |
| 7084003 | Other | IL | AETNA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | HIE
| |
| CSV
CSV
| 101 UNITED DR, SUITE 110
COLLINSVILLE, IL, 62234-7428
United States |
FHIR
(FHIR URL) | HIE
| | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 7600 DALE AVE,
RICHMOND HEIGHTS, MO, 63117-2132
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 101 United Dr, Suite 110
Collinsville, IL, 62234-7428
United States |
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| Phone Number : | 618-855-9041 |
|---|
| Fax Number : | 618-855-9046 |
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Business Location:
Patients can refer following map for directions to
Dr. Kristin V Stahl practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.