Active NPI
N. Lucas Stang, PA-C
- Physician Assistant
- Florence, OR
National Provider Identifier
1790755650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01282
- Practice address
- 380 9TH St
Florence, OR 97439-9470 - Phone
- (541) 997-7134
- Fax
- (541) 997-9650
- NPI assigned
- Jan 24, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01282 | OR | Primary |
Addresses
Primary practice location
380 9TH St
Florence, OR 97439-9470
Mailing address
PO Box 24410
Eugene, OR 97402-0451
Phone (541) 984-4301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276263 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Medical Clinic, Inc | Past | Accepting new patients |
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.
-
dba Santa Cruz Medical Clinic
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1588775308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1790755650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24410",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020451",
"telephone_number": "541-984-4301",
"fax_number": "541-902-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974399470",
"telephone_number": "541-997-7134",
"fax_number": "541-997-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANG",
"first_name": "N.",
"middle_name": "LUCAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276263",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.