DR. KEVIN R STAHL (NPI# 1689180473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689180473 |
| Entity Type | Individual |
| Full Name | DR. KEVIN R STAHL |
| Credential | DO |
| Practice Address |
6755 Phelan Blvd Beaumont TX 77706-6075 |
| Mailing Address |
3040 E Lakeside Dr Beaumont TX 77707-2400 |
| Practice Telephone | 4093631945 |
| Mailing Telephone | 4093631945 |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2017-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J2353 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931657 | Kevin Albert Stahl | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-08-09 |
| 1356319982 | Kevin Ann Stahl | Psychiatry & Neurology | 15615 N. 71st Street, Suite 108, Scottsdale, AZ 85254 | 2006-03-09 |
| Street Address |
6755 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124088414 | James Coty Broussard | Chiropractor | 6755 Phelan Blvd, Suite18, Beaumont, TX 77706-6075 | 2006-03-23 |
| 1356722375 | Patricia Lamb Tortorice | Speech-Language Pathologist | 6755 Phelan Blvd, Ste 38, Beaumont, TX 77706-6075 | 2015-06-16 |
| 1861809469 | Starpoint Educational Enrichment Center, LLC | Community/Behavioral Health | 6755 Phelan Blvd, Suite 22, Beaumont, TX 77706-6075 | 2014-07-15 |
| 1043529217 | Kids Unlimited Therapy Fun and Fitness Center, P.C. | Physical Therapist | 6755 Phelan Blvd, Suite 38, Beaumont, TX 77706-6075 | 2010-10-05 |
| 1649420126 | Katherine E Olson | Dentist | 6755 Phelan Blvd, Suite 18, Beaumont, TX 77706-6075 | 2008-09-22 |
| 1518016534 | Leeann Mcquade | Dentist | 6755 Phelan Blvd, Ste 32, Beaumont, TX 77706-6075 | 2007-01-09 |
| 1811088297 | Bartholdi Health Management, Inc. | Home Health | 6755 Phelan Blvd, Suite #22, Beaumont, TX 77706-6075 | 2006-09-28 |
| 1578673810 | Susan Steely | Counselor | 6755 Phelan Blvd, Suite 24-k, Beaumont, TX 77706-6075 | 2006-08-30 |
| 1184648776 | Broussard Family Chiropractic, P.a. | Chiropractor | 6755 Phelan Blvd, Suite 18, Beaumont, TX 77706-6075 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481043 | Alicia Georgetown | Family Medicine | 6920 Glen Willow Dr, Beaumont, TX 77706-4112 | 2020-09-12 |
| 1568085108 | Partners In Primary Care Tx, Pa | Family Medicine | 4886 Dowlen Rd, Beaumont, TX 77708-4828 | 2020-05-18 |
| 1447890397 | Texas Center for Health, Pllc | Family Medicine | 2965 Harrison St Ste 317, Beaumont, TX 77702-1150 | 2020-01-08 |
| 1821636598 | Sara Marie Devine | Family Medicine | 34425 Venturi Ave, Beaumont, CA 92223-7472 | 2019-12-12 |
| 1558839076 | Permian Premier Health Services Inc | Family Medicine | 2929 Calder St Ste 100, Beaumont, TX 77702-1841 | 2018-11-02 |
| 1245788629 | Beaumont Primary Healthcare, Pllc | Family Medicine | 3510 Prescott Dr, Beaumont, TX 77706-6349 | 2016-09-14 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| 1619394756 | Pranav Bhatt | Family Medicine | 3030 North St Ste 420, Beaumont, TX 77702-1434 | 2014-03-26 |
| 1588811731 | Prasad L Surapaneni | Family Medicine | 5430 Knauth Rd, Beaumont, TX 77705 | 2008-08-19 |
| 1396902672 | Ramya Hullur Subramanyam | Family Medicine | 3580 Prescott Dr, Beaumont, TX 77706-6349 | 2008-05-22 |
| Find all providers in BEAUMONT | ||||
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| 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.