MRS. PAMELA S. STALLO M.D.
NPI 1477554574
Pediatrics - Adolescent Medicine in Scott Depot, WV

Q: What is Pamela Stallo's NPI number?

The NPI number for Pamela Stallo is 1477554574. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Pamela Stallo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Stallo was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2005

63 CORPORATE CENTER DR, SCOTT DEPOT, WV 25560(304) 691-8870(304) 691-1665 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Pamela S. Stallo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PAMELA S. STALLO M.D. (NPI 1477554574) is an individual adolescent medicine provider in Scott Depot, West Virginia, licensed in West Virginia (16984) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1477554574

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameMRS. PAMELA S. STALLOCredential: M.D.

Location Address63 CORPORATE CENTER DRScott Depot, WV 25560-7841

Mailing Address63 Corporate Center DrScott Depot, WV 25560-7841 · (304) 691-8870 · Fax (304) 691-1665

Phone(304) 691-8870

Fax(304) 691-1665

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateDecember 23, 2021

NPPES CertifiedDecember 23, 2021

✔ NPI 1477554574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in WV · 16984

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

63 CORPORATE CENTER DR, Scott Depot, WV 25560

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Other Identifiers 1

Medicaid0107899000WV

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Stallo's NPI number?

The NPI number for Pamela Stallo is 1477554574. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Pamela Stallo located?

Pamela Stallo practices at 63 Corporate Center Dr, Scott Depot, WV 25560. The listed phone number is (304) 691-8870.

What is Pamela Stallo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Pamela Stallo was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.