NPIMap

Individual provider Active NPI

Brian Albert Staub, M.D.

  • Cardiovascular Disease Physician
  • Washington, PA
National Provider Identifier
1033358734
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD441904 Issued in PA
Practice address
125 N Franklin Dr
Suite 1
Washington, PA 15301-5892
Phone
(724) 225-6500
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT191382 PA
Cardiovascular Disease Physician 207RC0000X MD441904 PA Primary

Addresses

Primary practice location

125 N Franklin Dr
Suite 1
Washington, PA 15301-5892

Mailing address

125 N Franklin Dr
Suite 1
Washington, PA 15301-5892
Phone (724) 225-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130727000151 PA Practitioner - Cardiovascular Disease (Cardiology) 5890936280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

125 N Franklin Dr
Washington, PA 15301-5892

155 Wilson Ave
Washington, PA 15301-3336

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

300 Technology Dr
Coal Center, PA 15423-1065
Phone (724) 225-3640

350 Bonar Ave
FL 3
Waynesburg, PA 15370-1608
Phone (724) 225-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT191382PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics Inc CurrentSince Dec 1, 2020 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Cardiovascular Disease Current Accepting new patients
Washington Physician Services Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc CurrentSince Dec 1, 2020 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients

Locations

1070 Old National Pike
Fredericktown, PA 15333

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

400 Locust Ave
Washington, PA 15301
Phone (724) 222-2577

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

125 N Franklin Dr
Ste 1
Washington, PA 15301
Phone (724) 225-6500

Interoperability endpoints

  • Direct secure messaging: brian.staub@whc.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1033358734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-225-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-225-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "BRIAN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT191382",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD441904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.