Craig Staebel M.D., P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L3142 Issued in TX

Legal business name

CRAIG STAEBEL M.D., P.A.

Doing business as

Georgetown Plastic Surgery

Practice address

950 W University Ave
Building 2, Suite 207
Georgetown, TX 78626-6505

Phone

(512) 686-1650

Fax

(512) 686-1652

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By 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

Dr. Craig Allen Staebel, M.D.NPI 1669423018

Title

Owner/President

Phone

(512) 686-1650

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Craig Allen Staebel, M.D.

  • Plastic Surgery Physician
  • Georgetown, TX
  • NPI 1669423018
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205887585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE",
            "address_2": "BUILDING 2, SUITE 207",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-686-1650",
            "fax_number": "512-686-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE",
            "address_2": "BUILDING 2, SUITE 207",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-686-1650",
            "fax_number": "512-686-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG STAEBEL M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAEBEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-686-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic Surgery Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.