Provider Demographics
NPI:1447443171
Name:JAMES L. STAMMER, MD
Entity type:Organization
Organization Name:JAMES L. STAMMER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GASTROENTEROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:STAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-285-6601
Mailing Address - Street 1:3401 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8072
Mailing Address - Country:US
Mailing Address - Phone:405-285-6601
Mailing Address - Fax:405-285-0600
Practice Address - Street 1:3401 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8072
Practice Address - Country:US
Practice Address - Phone:405-285-6601
Practice Address - Fax:405-285-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11162207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD35303Medicare UPIN
OK1316042633Medicare NSC