Basic Information
| Provider Information | |||||||||
| NPI: | 1871539304 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOPLEY | ||||||||
| FirstName: | STUART | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6001 | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581086001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013643300 | ||||||||
| FaxNumber: | 7013648906 | ||||||||
| Practice Location | |||||||||
| Address1: | 3902 13TH AVE S | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581033357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013646600 | ||||||||
| FaxNumber: | 7013646628 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2006 | ||||||||
| LastUpdateDate: | 09/28/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 37840 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 7200 | ND | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | HP19570 | 01 | MN | HEALTHPARTNERS # | OTHER | 2713 | 01 | MN | SIOUX VALLEY # | OTHER | 306221000 | 05 | MN | MEDICAID | 50G93TO | 01 | ND | MNBS # | OTHER | MN100037 | 01 | MN | LHS # | OTHER | 00T62TO | 01 | ND | MNBS # | OTHER | 126103 | 01 | MN | UCARE # | OTHER | 86D18TO | 01 | ND | MNBS # | OTHER | 0105982 | 01 | MN | MEDICA # | OTHER | 32T03TO | 01 | ND | NDBS # | OTHER | DA9011015632 | 01 | ND | PREFERRED ONE # | OTHER | 18674 | 05 | MN | MEDICAID | 764855 | 01 | MN | AMERICA'S PPO/ARAZ # | OTHER | 8D998TO | 01 | MN | MNBS # | OTHER | 0105981 | 01 | ND | MEDICA # | OTHER | 18748 | 01 | ND | NDBS # | OTHER |