Active NPI
Christine Ella Staub, M.D.
- Family Medicine Physician
- Kernersville, NC
National Provider Identifier
1649407651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30507
- Practice address
- 7737 Pearman Quarry Rd
Kernersville, NC 27284-8751 - Phone
- (336) 643-3124
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30507 | NC | Primary |
Addresses
Primary practice location
7737 Pearman Quarry Rd
Kernersville, NC 27284-8751
Mailing address
7737 Pearman Quarry Rd
Kernersville, NC 27284-8751
Phone (336) 643-3124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30507 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1649407651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 PEARMAN QUARRY RD",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848751",
"telephone_number": "336-643-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 PEARMAN QUARRY RD",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848751",
"telephone_number": "336-643-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUB",
"first_name": "CHRISTINE",
"middle_name": "ELLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "30507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
- Star Care Network Inc (Shuler Health Care/Storey Villa)
- Star Care Network Inc (Shuler Health Care/Phillips Villa)
- Star Care Network Inc (Shuler Health Care/Record Villa)
- James Starman, MD
- Valerie Christine Starr, PMHNP-BC
- Jernetta Stephen
- Bret Stevens, PHARMD
- Aziyah Stevenson-English
- Jayden Stewart
- Mark Anthony Stewart, LMBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.