Earl Ray Stagg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD010857 Issued in LA

Practice address

2800 1St Ave
Suite C
Lake Charles, LA 70601-8884

Phone

(337) 491-9880

Fax

(337) 433-3268

NPI assigned

Jul 28, 2005

Last updated

Nov 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lake Charles Medical Services, Inc

  dba Charles B. Woodard, M.D., Cardiovascular Diseases

  • Cardiovascular Disease Physician
  • Lake Charles, LA
  • NPI 1811060866
  NPD (past)
• Radiology Associates of Southwest Louisiana

  • Diagnostic Radiology Physician
  • Alexandria, LA
  • NPI 1033215710
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1508866963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 1ST AVE",
            "address_2": "SUITE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018884",
            "telephone_number": "337-491-9880",
            "fax_number": "337-433-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 1ST AVE",
            "address_2": "SUITE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018884",
            "telephone_number": "337-491-9880",
            "fax_number": "337-433-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "EARL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD010857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133663",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "55502CE16",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Paul Companion Care, L.L.C.
• Bethany St. Romain, APRN, FNP-C
• Christian B St. Romain, DDS
• Connie Stackhouse
• Kaycie Stacy
• Stanley R Kordisch M D AMC
• Star Care Service Inc
• Starfish Lake Charles (Sensible Dental)
• Laurie Davis Starr, FNP-C
• State of la/DHH/Obh (Lake Charles Behavioral Health Clinic)

• Family Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.