Active NPI
Samuel K Staula, D.C.
- Chiropractor
- Taunton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3287
- Practice address
- 75 Washington Street
Taunton, MA 02780 - Phone
- (508) 824-2928
- NPI assigned
- Oct 18, 2010
- Last updated
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3287 | MA | Primary |
Addresses
Primary practice location
75 Washington Street
Taunton, MA 02780
Mailing address
642 Torrey Street
Brockton, MA 02301
Phone (508) 583-3194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3101 Emrick Blvd
Bethlehem, PA 18020-8037
701 Ostrum St
Fountain Hill, PA 18015-1152
701 Ostrum St
Fountain Hill, PA 18015-1153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3287 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| St. Luke's Physician Group Inc | Chiropractor | Current | Accepting new patients |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Past | Accepting new patients | |
| St. Luke's Physician Group Inc. | Past | Accepting new patients |
Locations
10 Cordage Park Cir
Ste 225
Plymouth, MA 02360
Phone (508) 830-6991
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
3151 Walbert Ave
Ste 200
Allentown, PA 18104
Phone (484) 526-2011
3101 Emrick Blvd
Ste 112
Bethlehem, PA 18020
Phone (484) 822-5280
3101 Emrick Blvd
Ste 112B
Bethlehem, PA 18020
Phone (484) 526-2011
701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- samuel.staula@slpg.direct-sluhn.org
Organizations & group practices 7
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.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
-
dba BIDH-Plymouth Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Chiropractic Care
- Chiropractor
- Fountain Hill, PA
- NPI 1669183547
-
- Cardiovascular Disease Physician
- Bethlehem, PA
- NPI 1700264819
-
- Maternal & Fetal Medicine Physician
- Fountain Hill, PA
- NPI 1003867623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1679883219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 TORREY STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-583-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 WASHINGTON STREET",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-824-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAULA",
"first_name": "SAMUEL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.