Stayton Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STAYTON FAMILY PRACTICE INC

Doing business as

Lebanon Family Practice

Practice address

41 E Ash St
Lebanon, OR 97355-3317

Phone

(503) 769-2641

Fax

(503) 769-3797

NPI assigned

Oct 1, 2018

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lance Brandon Large, MDNPI 1750362554

Title

Medical Director

Phone

(503) 400-6140

Specialties & licenses 1

Addresses

Other names 1

• Lebanon Family Practice Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22139/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Brandon Large, MD

  • Family Medicine Physician
  • Stayton, OR
  • NPI 1750362554
  Authorized official Same address or phone

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1134604606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W WASHINGTON ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973839511",
            "telephone_number": "503-400-6140",
            "fax_number": "503-769-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E ASH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553317",
            "telephone_number": "503-769-2641",
            "fax_number": "503-769-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYTON FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LARGE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-400-6140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lebanon Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christan R. Stagg, MSW
• Tiffany Starha, FNP-C
• Angel Rain Stark
• Lan Starkweather, PHARMD
• State of Oregon Department of Veterans' Affairs
• Angie Marrie Steele, CRM
• Susan Marie Stilwell, RPH
• Kandyce Lee Stirman, CADC-R, CRM, THW
• Lisa Marie Stoke, DPT
• Stonecypher Vision, LLC

• Family Medicine Physician in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.