Gloria V Staples, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40217 Issued in KY

Practice address

315 W 16TH St
Suite a
Hopkinsville, KY 42240-1903

Phone

(270) 707-7530

Fax

(270) 707-7532

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Fairfield Internal Medicine, Inc

  • Internal Medicine Physician
  • Lancaster, OH
  • NPI 1801992706
  NPD
• Vinna Denison Humphries MD LLC

  • Family Medicine Physician
  • Hopkinsville, KY
  • NPI 1720002371
  NPD (past)
• Western Kentucky Technical Imaging, Inc

  • Diagnostic Radiology Physician
  • Madisonville, KY
  • NPI 1396762324
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1174589618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 16TH ST",
            "address_2": "SUITE A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401903",
            "telephone_number": "270-707-7530",
            "fax_number": "270-707-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 16TH ST",
            "address_2": "SUITE A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401903",
            "telephone_number": "270-707-7530",
            "fax_number": "270-707-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "GLORIA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "40217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000391905",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00383175",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64118136",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech, Hearing & Counseling Services, Inc.
• Gary G Spencer, M.D.
• Anthony Vincent Sperduto, DDS
• Amy Klena Stallins, COTA/L
• Brandi Stallons, BCBA
• Cynthia Starling
• John B Stea, MD
• Trista Stepp
• Margaret D Stevens, ARNP
• Kennedee Stevenson

• Internal Medicine Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.