Jeffrey Paul Stavenger, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5070 Issued in ND

Practice address

2301 25TH St S
Fargo, ND 58103-6104

Phone

(701) 237-9712

Fax

(701) 237-0922

NPI assigned

May 12, 2006

Last updated

May 16, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1659322865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-237-9712",
            "fax_number": "701-237-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-237-9712",
            "fax_number": "701-237-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVENGER",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ND",
            "license": "5070",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "28822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitaliy Starosta, M.D., PH.D.
• Robert F Startz, MD
• Jessica Staska
• Andrew John Stasko, M.D.
• Douglas John Stavenger, ABO
• Trevor Dennis Stavig, NP-C
• Kelsey R Stay, APRN,CNP
• Michael Grant Stearns
• Williams G Stearns, DDS
• Christin Saline Stebe

• Orthopaedic Surgery Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Orthopaedic Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.