MEDICARE: SHAWN P STALLINGS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	E-16229	AR
2	207V00000X	Obstetrics & Gynecology Physician	81512	WI
3	207V00000X	Obstetrics & Gynecology Physician	C2237	KY
4	207VM0101X	Maternal & Fetal Medicine Physician	81512	WI
5	207VM0101X	Maternal & Fetal Medicine Physician	MD-36924	TN
6	207VM0101X	Maternal & Fetal Medicine Physician	E-16229	AR
7	207VM0101X	Maternal & Fetal Medicine Physician	C2237	KY
8	207VM0101X	Maternal & Fetal Medicine Physician	2023010936	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184616369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN P STALLINGS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-884-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	500 N KEENE ST STE 406
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-8104
Country	:	US
Telephone Number	:	573-499-6041
Fax Number	:	573-499-6091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	05/21/2024

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Directions to “ SHAWN P STALLINGS M.D.” Practice Location

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