Individual provider Active NPI

John Garth Stauffer, M.D.

  • Occupational Medicine Physician
  • Auburn, AL
National Provider Identifier
1124108238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
AL11058 Issued in AL
Practice address
2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453
Phone
(334) 821-7788
Fax
(334) 821-7555
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X AL11058 AL Primary

Addresses

Primary practice location

2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453

Mailing address

2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453
Phone (334) 821-7788

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AL11058ALMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Occupational Medicine Occupational Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124108238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E GLENN AVE",
            "address_2": "SUITE 106",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306453",
            "telephone_number": "334-821-7788",
            "fax_number": "334-821-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E GLENN AVE",
            "address_2": "SUITE 106",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306453",
            "telephone_number": "334-821-7788",
            "fax_number": "334-821-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "JOHN",
        "middle_name": "GARTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AL",
            "license": "AL11058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.