| Kevin R Stamm, MD | |
|
2003 Stults Rd, Suite 120, Huntington, IN 46750-1291 | |
| (260) 355-3960 | |
| (260) 355-3969 |
| Full Name | Kevin R Stamm |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2003 Stults Rd, Huntington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932134590 | NPI | - | NPPES |
| 000000550675 | Other | IN | ANTHEM |
| 200262570 | Medicaid | IN | |
| P00465491 | Other | IN | RAILROAD MEDICARE |
| 000000483286 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01046799A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Dhp Of Indiana, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588387450 PECOS PAC ID: 9931579075 Enrollment ID: O20230105001619 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Stamm, MD 1234 E Dupont Rd, Suite 1, Fort Wayne, IN 46825-1545 Ph: (260) 373-9728 | Kevin R Stamm, MD 2003 Stults Rd, Suite 120, Huntington, IN 46750-1291 Ph: (260) 355-3960 |
Mrs. June Hazel Pollydore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2003 Stults Rd Ste 215, Huntington, IN 46750 Phone: 260-355-3960 Fax: 260-355-3969 | |
Rolf C Loescher, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2003 Stults Rd Ste 215, Huntington, IN 46750 Phone: 260-355-3960 Fax: 260-355-3969 | |
Dr. Anil V Rao, MD/OBGYN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2812 Theater Ave, Huntington, IN 46750 Phone: 260-356-0000 Fax: 260-358-9146 | |
Dr. Kishori Piyush Shah, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2814 Theater Ave, Huntington, IN 46750 Phone: 260-356-3611 Fax: 260-358-4263 |