Provider Demographics
NPI:1508846312
Name:STAHLE, SCOTT DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DOUGLAS
Last Name:STAHLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4829
Mailing Address - Country:US
Mailing Address - Phone:336-889-2000
Mailing Address - Fax:336-889-2050
Practice Address - Street 1:405 LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4829
Practice Address - Country:US
Practice Address - Phone:336-889-2000
Practice Address - Fax:336-889-2050
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9071158207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0703377OtherUNITED HEALTHCARE
NC20965OtherPARTNERS
NC8910715Medicaid
NC10715OtherBCBSNC
NC10715OtherBCBSNC
NCNCK371D941Medicare PIN