Paul Kray Staab, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017766 Issued in LA

Practice address

5216 Lapalco Blvd
Marrero, LA 70072-4248

Phone

(985) 796-0904

Fax

(985) 796-0904

NPI assigned

Jun 25, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

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.

• Van Meter MD & Associates

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1275638272
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629004023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700730247",
            "telephone_number": "985-796-0904",
            "fax_number": "985-796-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724248",
            "telephone_number": "985-796-0904",
            "fax_number": "985-796-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "PAUL",
        "middle_name": "KRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351768",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra L Spedale, MD
• Megan Speer
• Roselyn St Etienne
• St Margarets Pharmacy Services
• Kristi Lynne St Martin, MD
• Tiffany Stafford, LOTR
• Kaitlyn Foret Stall, MOT
• Aimee Stanley, LMT
• Caroline Starr
• John C Steck, MD

• Family Medicine Physician in Marrero, LA
• Providers in Marrero, 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 Jul 8, 2007; 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.