| Dr Jonathan Stahl, DO | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-5494 | |
| Not Available |
| Full Name | Dr Jonathan Stahl |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 33-57 Harrison St, Johnson City, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235511015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | T4468 (Texas) | Secondary |
| 208600000X | Surgery | T4468 (Texas) | Secondary |
| 208600000X | Surgery | 287113 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faxton-st Luke's Healthcare | Utica, NY | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Blake Medical Center | Bradenton, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mvhs Inc | 2769380252 | 270 |
| Urgent Specialty Associates Pllc | 7618235995 | 52 |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Stahl, DO 6560 Fannin St Ste 1404, Houston, TX 77030-2706 Ph: (914) 413-6581 | Dr Jonathan Stahl, DO 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-5494 |
J Richard Cunningham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 Harrison St, Suite 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Curtis Frederick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 | |
Dr. Kimberly Marie Syres, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-5494 | |
Ghassem Mangouri, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-0706 | |
Mark Brennan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St, Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Jeffrey Scott Wiseman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 |