Mrs. Pamela S. Stallo
M.D. | Pediatric Adolescent Medicine | Female
Mrs. Pamela S. Stallo, M.D. is a Scott Depot, West Virginia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mrs. Pamela S. Stallo is
63 Corporate Center Dr, Scott Depot, West Virginia - 25560-7841. She can be contacted on phone at
304-691-8870 and fax number 304-691-1665.
Mrs. Pamela S. Stallo is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Pamela S. Stallo is
1477554574 which was assigned by NPPES on 10 Aug, 2005 and it was last updated on 23 Dec, 2021.
Mrs. Pamela S. Stallo license number is
16984 for Pediatrics Adolescent Medicine (2080A0000X) in West Virginia.
Mrs. Pamela S. Stallo 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:
Mrs. Pamela S. Stallo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mrs. Pamela S. Stallo |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Pamela S. Stallo 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 : | 63 Corporate Center Dr
Scott Depot, WV, 25560-7841
United States |
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| Phone Number : | 304-691-8870 |
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| Fax Number : | 304-691-1665 |
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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 : | 1477554574 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Aug, 2005 |
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| Last Updated On : | 23 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 Mrs. Pamela S. Stallo are as mentioned. Primary taxonomy code for Mrs. Pamela S. Stallo, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 16984 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Pamela S. Stallo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0107899000 | MEDICAID | WV | |
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 |
|---|
DIRECT
(Direct Messaging Address) | Pamela.Stallo@marshall.cernerdirect.com
| No affiliation |
|
| 63 CORPORATE CENTER DR,
SCOTT DEPOT, WV, 25560-7841
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 : | 63 Corporate Center Dr
Scott Depot, WV, 25560-7841
United States |
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| Phone Number : | 304-691-8870 |
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| Fax Number : | 304-691-1665 |
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Business Location:
Patients can refer following map for directions to
Mrs. Pamela S. Stallo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.