Individual provider Active NPI

Craig Allen Staebel, M.D.

  • Plastic Surgery Physician
  • Georgetown, TX
National Provider Identifier
1669423018
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
L3142 Issued in TX
Practice address
950 W University Ave
Building 2, Suite 207
Georgetown, TX 78626-6505
Phone
(512) 686-1650
Fax
(512) 686-1652
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

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
Plastic Surgery Physician 208200000X L3142 TX Primary

Addresses

Primary practice location

950 W University Ave
Building 2, Suite 207
Georgetown, TX 78626-6505

Mailing address

950 W University Ave
Building 2, Suite 207
Georgetown, TX 78626-6505
Phone (512) 686-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20061006000153 TX Practitioner - Plastic and Reconstructive Surgery 7012913569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L3142TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Staebel M.D., P.a. Plastic Surgery CurrentSince Jul 1, 2006 Accepting new patients

Locations

950 W University Ave
Ste 207
Georgetown, TX 78626
Phone (512) 686-1650

3201 S Austin Ave
Ste 305
Georgetown, TX 78626
Phone (512) 686-1650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669423018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE",
            "address_2": "BUILDING 2, SUITE 207",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-686-1650",
            "fax_number": "512-686-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE",
            "address_2": "BUILDING 2, SUITE 207",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-686-1650",
            "fax_number": "512-686-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEBEL",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.