Provider Demographics
NPI:1558467050
Name:KAPLAN, STUART J (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:J
Last Name:KAPLAN
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 1:14 S WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715
Mailing Address - Country:US
Mailing Address - Phone:406-451-7370
Mailing Address - Fax:
Practice Address - Street 1:14 S WILSON AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-451-7370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT103375208D00000X, 208000000X
NY2206242080P0207X
TN27075208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100845280AMedicare ID - Type UnspecifiedOK MEDICAID
SCQ27075Medicare ID - Type UnspecifiedSC MEDICAID
MO205875602Medicaid
VA10008361Medicaid
TN4042082OtherBCBS TN
KS100448880AMedicaid
KY64053234Medicaid
TN3495856Medicare ID - Type UnspecifiedTN MEDICAID
IN200387650AMedicaid
AR99366OtherBCBS AR
G56448Medicare UPIN
LA1125512Medicaid
AL009999990Medicare ID - Type UnspecifiedAL MEDICAID
ID806939800Medicare ID - Type UnspecifiedID MEDICAID
AR146638001Medicare ID - Type UnspecifiedAR MEDICAID
MS00126052Medicaid
IA0560086Medicare ID - Type UnspecifiedIA MEDICAID
OH2515326Medicaid
TX172200101Medicaid