Joseph J Staab, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2007-01154 Issued in NC

Practice address

1000 W Hamlet Ave
Medical Imaging
Hamlet, NC 28345-4522

Phone

(910) 205-8155

Fax

(910) 205-8003

NPI assigned

Aug 23, 2005

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• Hamlet Radiology, PLLC

  • Diagnostic Radiology Physician
  • Hamlet, NC
  • NPI 1083052294
  Authorized official Same address or phone
• Crystal Clear Imaging, LLC

  • Diagnostic Radiology Physician
  • Springfield, OH
  • NPI 1346220662
  NPD (past)
• John W Murrey

  dba radiology associates of athens

  • Diagnostic Radiology Physician
  • Athens, OH
  • NPI 1982634192
  NPD (past)
• Pineville Community Hospital Association, Inc.

  dba PCH Swing Beds

  • Medicare Defined Swing Bed Hospital Unit
  • Pineville, KY
  • NPI 1861843401
  NPD (past)
• Premier Imaging Group, Inc

  • Diagnostic Radiology Physician
  • Fremont, OH
  • NPI 1659351963
  NPD (past)
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1306839576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100523",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020523",
            "telephone_number": "843-669-5162",
            "fax_number": "843-667-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HAMLET AVE",
            "address_2": "MEDICAL IMAGING",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454522",
            "telephone_number": "910-205-8155",
            "fax_number": "910-205-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34-00-5668-S",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2007-01154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907191",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Leigh Smith
• Charlie Thomas Smith
• Gregory C Smith, MD
• Chyna Jewell Spencer, LCSWA
• Spruce LTC Group, LLC (Richmond Pines Healthcare and Rehabilitation Center)
• Brittany Strong, MSW,LCSWA
• Rebecca Keith Talbert, FNP
• Talk to US Support Services Incorpo
• Tarheel Family Medicine PA
• Teaching and Training LLC

• Diagnostic Radiology Physician in Hamlet, NC
• Providers in Hamlet, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.