Active NPI
James R Staten, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Laurinburg, NC
National Provider Identifier
1023012622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 2004-00268
- Practice address
- 500 E Lauchwood Dr
Laurinburg, NC 28352-5501 - Phone
- (910) 291-7000
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 2004-00268 | NC | Primary |
Addresses
Primary practice location
500 E Lauchwood Dr
Laurinburg, NC 28352-5501
Mailing address
500 E Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89136WA | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-00268 | NC | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1023012622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E LAUCHWOOD DR",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525501",
"telephone_number": "910-291-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E LAUCHWOOD DR",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525501",
"telephone_number": "910-291-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATEN",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NC",
"license": "2004-00268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89136WA",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.