KRISTIN STAHL MD PC (NPI# 1336209329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336209329 |
| Entity Type | Organization |
| Organization Name | KRISTIN STAHL MD PC |
| Other Organization Name | HEARTLAND PEDIATRICS |
| Practice Address |
101 United Dr Suite 110 Collinsville IL 62234-7428 |
| Practice Telephone | 6188559041 |
| Practice Fax Number | 6188559046 |
| Mailing Telephone | 6188559041 |
| Mailing Fax Number | 6188559046 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | MRS. SUZETTE ELAINE HAMILTON (BILLING MANAGER) |
| Authorized Official Telephone | 6188559041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036100294 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UNITED HEALTHCARE | 1202462 | 01 |
| IL | GHP | 164815 | 01 |
| IL | BCBS OF ILLINOIS | 6032067 | 01 |
| IL | 0361002943 | 05 | |
| IL | BLUE CHOICE OF MISSOURI | 119414 | 01 |
| IL | 205323819 | 205323819 | 01 |
| IL | AETNA | 7084003 | 01 |
| IL | HEALTHLINK | 412708 | 01 |
| IL | CIGNA | PC19811 | 01 |
| Other Name | Type Code |
|---|---|
| HEARTLAND PEDIATRICS | Doing Business As Name - Organization |
| Street Address |
101 UNITED DR SUITE 110 |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-7428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901725 | Li Ling Lai | Pediatrics | 101 United Dr, Suite 110, Collinsville, IL 62234-7428 | 2005-12-06 |
| 1083152243 | Creating Smiles LLC | Durable Medical Equipment & Medical Supplies | 101 United Dr, Suite 150, Collinsville, IL 62234-7428 | 2017-02-08 |
| 1962957274 | Alyssa Nicole Skala | Physical Therapist | 101 United Dr, Collinsville, IL 62234-7428 | 2016-08-17 |
| 1831566769 | Juliann E Marth | Physical Therapist | 101 United Dr, Suite 100, Collinsville, IL 62234-7428 | 2015-08-26 |
| 1427256486 | Gretchen Sander | Pediatrics | 101 United Dr, Suite 110, Collinsville, IL 62234-7428 | 2007-07-10 |
| 1205033081 | Collinsville Physical Therapy & Wellness, LLC | Physical Therapist | 101 United Dr, Suite 100, Collinsville, IL 62234-7434 | 2007-06-27 |
| 1861518433 | Gena Pineda | Dentist | 101 United Dr, Suite 150, Collinsville, IL 62234-7428 | 2007-03-22 |
| 1942369145 | Kristin V Stahl | Pediatrics | 101 United Dr, Suite 110, Collinsville, IL 62234-7428 | 2006-12-06 |
| 1629161765 | Melissa Lynn Kalaher | Family Medicine | 101 United Dr, Collinsville, IL 62234-7434 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275916744 | Treasured Pediatric Care Hilary Nicholson Aprn-cnp, Pllc | Clinic/Center | 1101 W Main St, Suite 112, Collinsville, OK 74021-3112 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on KRISTIN STAHL MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.