Individual provider Active NPI

William Harry Stager, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • West Palm Beach, FL
National Provider Identifier
1538144407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS5916 Issued in FL
Practice address
311 Golf Rd
Suite 1100
West Palm Beach, FL 33407-5509
Phone
(561) 832-1894
Fax
(561) 832-1590
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS5916 FL Primary

Addresses

Primary practice location

311 Golf Rd
Suite 1100
West Palm Beach, FL 33407-5509

Mailing address

311 Golf Rd
Suite 1100
West Palm Beach, FL 33407-5509
Phone (561) 832-1894

Other identifiers 1

IdentifierTypeStateIssuer
OS5916OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000388 FL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0547269979 Practice locations: West Palm BCH, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 Golf Rd
Suite 1100
West Palm Beach, FL 33407-5501

311 Golf Rd
Suite 1100
West Palm Beach, FL 33407-5509
Phone (561) 832-1894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

LicenseStateTypeSpecialty
OS5916FLMDNeuromusculoskeletal Medicine & OMM Physician

Interoperability endpoints

  • Direct secure messaging: drstager@whsd-fl.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538144407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GOLF RD",
            "address_2": "SUITE 1100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075509",
            "telephone_number": "561-832-1894",
            "fax_number": "561-832-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GOLF RD",
            "address_2": "SUITE 1100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075509",
            "telephone_number": "561-832-1894",
            "fax_number": "561-832-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGER",
        "first_name": "WILLIAM",
        "middle_name": "HARRY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS5916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS5916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.