Richard John Staie, P.A.

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

003918 Issued in GA

Practice address

8954 Hospital Dr
Douglasville, GA 30134-2272

Phone

(770) 920-6413

Fax

(678) 838-2532

NPI assigned

Nov 17, 2005

Last updated

May 29, 2013By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, CO2 enrollments

Enrollment records 2

Specialty

Anesthesiology Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
• St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

Merit-based Incentive Payment System (MIPS)

Final score

84.8 of 100Reported as group

Quality

85

Improvement activities

40

Cost

76.83

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Physician Assistant

Practice roles

Locations

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.

• US Anesthesia Partners of Colorado Inc.

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1922365782

  Anesthesiologist Assistant

  Medicare reassignment Care Compare group NPD
• Anesthesia Consultants of Savannah, PC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1679774343
  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Cobb Anesthesia, PC

  • Anesthesiologist Assistant
  • Austell, GA
  • NPI 1811944705
  NPD (past)
• Metro West Anesthesia

  • Anesthesiology Physician
  • Douglasville, GA
  • NPI 1750494316
  NPD (past)
• Mountainside Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Jasper, GA
  • NPI 1346327152
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  dba St. Francis Hospital - Interquest

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1295431765
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Penrose Cardiac & Pulmonary Rehab Center

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1801436415
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Penrose Hospital

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1932112125
  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1659353357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ACADIA DR # 7131",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405986",
            "telephone_number": "770-634-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342272",
            "telephone_number": "770-920-6413",
            "fax_number": "678-838-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIE",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003918",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "003918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491431789A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002432B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiologist Assistant in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.