DR. KRISTIN V STAHL (NPI# 1942369145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942369145 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN V STAHL |
| Credential | M.D |
| 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 | 2006-12-06 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036100294 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GHP HMO | 164815 | 01 |
| IL | GREAT WEST | 050558664 | 01 |
| IL | BC BS OF ILLINOIS | 6032067 | 01 |
| IL | HEALTHLINK | 412708 | 01 |
| IL | GHP OPEN ACCESS | 164815 | 01 |
| IL | BC BS OF ILLINOIS FEDERAL | 6032067 | 01 |
| IL | 036100294-3 | 05 | |
| IL | UNITED HEALTHCARE | 1202462 | 01 |
| IL | AETNA | 7084003 | 01 |
| IL | CIGNA | PC19811 | 01 |
| IL | MISSOURI MEDICAID | 205323819 | 01 |
| IL | ALLIANCE CHOICE | 6032067 | 01 |
| 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 |
| 1336209329 | Kristin Stahl Md PC | Clinic/Center | 101 United Dr, Suite 110, Collinsville, IL 62234-7428 | 2006-12-11 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417259979 | Adolescent and Young Adult Place Ltd | Pediatrics | 9 N Cicero Ave, Chicago, IL 60644-3602 | 2010-12-03 |
| 1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
| 1730334764 | Neighborhood Pedicatrics Sc | Pediatrics | 20200 Governors Dr, 101, Olympia Fields, IL 60461-1032 | 2008-11-18 |
| 1790950244 | Kids Place of Willowbrool Sc | Pediatrics | 6727 Kingery Hwy, Willowbrook, IL 60527-5142 | 2008-04-25 |
| 1841475746 | David C. Norman, Md Inc. | Pediatrics | 4600 Memorial Dr Ste G60, Belleville, IL 62226-5366 | 2008-01-09 |
| 1346429859 | Pediatric & Adolescent Center, S.c. | Pediatrics | 125 E Lake Cook Rd Ste 107, Buffalo Grove, IL 60089-4394 | 2007-10-31 |
| 1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
| 1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
| 1558402958 | Ashok H Bhaskar | Pediatrics | 2250 Weber Rd, Crest Hill, IL 60435-0928 | 2007-02-09 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
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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.