Robert A Staver, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD09164 Issued in OR

Practice address

1715 E 12TH St
The Dalles, OR 97058-3136

Phone

(541) 296-2294

NPI assigned

Oct 11, 2005

Last updated

Oct 8, 2007By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • General Practice Physician
  • The Dalles, OR
  • NPI 1053409599
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1699763821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "541-296-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "541-296-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD09164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8299703",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181271",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy E Stansbury, DDS
• Daren Starwing
• Kimberly Wells Starwing
• Leah A Staskiewicz
• State of Oregon Department of Veterans Affairs
• Tristan Stein, LMT
• Keith Jeffrey Stelzer, M.D., PH.D.
• Shauna R Stephens
• Jessica Sternberg
• Claire Cynthia Stewart, OTR/L

• Orthopaedic Surgery Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.