Individual provider Active NPI

J Webster Stayman III, M.D.

  • Plastic Surgery Physician
  • Oneonta, NY
National Provider Identifier
1700884921
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
126764-1 Issued in NY
Practice address
460 Main St
Suite 1
Oneonta, NY 13820-2027
Phone
(607) 432-4477
Fax
(607) 432-1184
NPI assigned
Jul 12, 2005
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 126764-1 NY Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 126764-1 NY

Addresses

Primary practice location

460 Main St
Suite 1
Oneonta, NY 13820-2027

Mailing address

460 Main St
Suite 1
Oneonta, NY 13820-2027
Phone (607) 432-4477

Other identifiers 2

IdentifierTypeStateIssuer
242002305OtherTRAVELERS RAILROAD MEDICA
10032783OtherCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126764-1NYMDSurgery of the Hand (Plastic Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1700884921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MAIN ST",
            "address_2": "SUITE 1",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202027",
            "telephone_number": "607-432-4477",
            "fax_number": "607-432-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MAIN ST",
            "address_2": "SUITE 1",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202027",
            "telephone_number": "607-432-4477",
            "fax_number": "607-432-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYMAN",
        "first_name": "J",
        "middle_name": "WEBSTER",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "126764-1",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "126764-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RAILROAD MEDICA",
            "identifier": "242002305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10032783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.