Provider Demographics
NPI:1033387675
Name:SARAH SHEEHAN STADLER MD
Entity Type:Organization
Organization Name:SARAH SHEEHAN STADLER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:STADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-296-9600
Mailing Address - Street 1:914 E JEFFERSON ST
Mailing Address - Street 2:SUITE G2
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4745
Mailing Address - Country:US
Mailing Address - Phone:434-296-9600
Mailing Address - Fax:434-296-9645
Practice Address - Street 1:914 E JEFFERSON ST
Practice Address - Street 2:SUITE G2
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4745
Practice Address - Country:US
Practice Address - Phone:434-296-9600
Practice Address - Fax:434-296-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054918207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09532OtherMEDICARE GROUP NUMBER