Provider Demographics
NPI:1235196544
Name:STOKOE, GAIL E (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:E
Last Name:STOKOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N MAPLEMERE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3178
Mailing Address - Country:US
Mailing Address - Phone:716-836-4646
Mailing Address - Fax:716-836-4696
Practice Address - Street 1:111 N MAPLEMERE RD STE 120
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3178
Practice Address - Country:US
Practice Address - Phone:716-836-4646
Practice Address - Fax:716-836-4696
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2096002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000920399013OtherBLUE SHIELD WNY
NY02091743Medicaid
106060FFOtherPREFERRED CARE
000920399010OtherBLUE SHIELD WNY
00025690105OtherUNIVERA
00025690102OtherUNIVERA
040426003079OtherFIDELIS
1693155OtherINDEPENDENT HEALTH
NY2096006BOtherWORKERS COMPENSATION
P020209600OtherBLUE SHIELD ROCHESTER
P00019763OtherRR MEDICARE
P00050438OtherRR MEDICARE
P010209600OtherBLUE CHOICE
4194935OtherGHI
000920399013OtherBLUE SHIELD WNY
4194935OtherGHI
P020209600OtherBLUE SHIELD ROCHESTER