Individual provider Active NPI

William S. Stauffer, CPO

  • Prosthetist
  • Goldsboro, NC
National Provider Identifier
1255481347
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
1306 Wayne Memorial Dr Ste C
Goldsboro, NC 27534-2257
Phone
(919) 736-1010
Fax
(919) 736-1011
NPI assigned
Jan 11, 2007
Last updated
May 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

1306 Wayne Memorial Dr Ste C
Goldsboro, NC 27534-2257

Mailing address

7205 Sawbuck CT
Raleigh, NC 27613-1613
Phone (919) 870-5396

Other identifiers 1

IdentifierTypeStateIssuer
7795078MedicaidNC

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Orthotics & Prosthetics of Goldsboro Orthotist CurrentSince Sep 10, 2009 Accepting new patients

Locations

1306 Wayne Memorial Dr
Ste C
Goldsboro, NC 27534
Phone (919) 736-1010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1255481347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 SAWBUCK CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131613",
            "telephone_number": "919-870-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 WAYNE MEMORIAL DR STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342257",
            "telephone_number": "919-736-1010",
            "fax_number": "919-736-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "WILLIAM",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.