Paul Stauffer, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A735520 Issued in CA

Legal business name

PAUL STAUFFER, P.C.

Practice address

2643 Chism CT
Fortuna, CA 95540-3664

Phone

(707) 799-0274

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Robert Stauffer, M.D.

Title

President/Surgeon

Phone

(707) 799-0274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1043461619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 CHISM CT",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403664",
            "telephone_number": "707-799-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 CHISM CT",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403664",
            "telephone_number": "707-799-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL STAUFFER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/SURGEON",
        "authorized_official_telephone_number": "707-799-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A735520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.