Charles Royden Staubs, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

50267-21 Issued in WI

Legal business name

CHARLES ROYDEN STAUBS, LLC

Practice address

850 Naugart Dr
Merrill, WI 54452-9148

Phone

(715) 409-0121

NPI assigned

Jan 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Staubs, D.O.

Title

Physician Owner

Phone

(715) 409-0121

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1316918345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NAUGART DR",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529148",
            "telephone_number": "715-409-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NAUGART DR",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529148",
            "telephone_number": "715-409-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ROYDEN STAUBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "STAUBS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "715-409-0121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H42911",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "50267-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045951800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "T843",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Burnett, CRNA
• Diane Elizabeth Cashman, P. T.
• Jenney Caylor, LPC-IT
• Sheila Ann Champion
• Charles a. Sowieja, D.D.S., S.C.
• Meagan Chasteene, LPC-IT
• Jeffrey K Chism, DPM
• County of Lincoln
• County of Lincoln
• County of Lincoln

• Primary Care Clinic/Center in Merrill, WI
• Providers in Merrill, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.