Dwight Lee Stauffer, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

01025006 Issued in IN

Practice address

2209 John R Wooden Dr
Martinsville, IN 46151-1840

Phone

(765) 352-9536

Fax

(765) 349-6433

NPI assigned

Jun 27, 2006

Last updated

Dec 29, 2015By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Indiana University Health Paoli Inc

  dba IU Health Paoli

  • Emergency Medical Services (Emergency Medicine) Physician
  • Paoli, IN
  • NPI 1457519324
  Medicare reassignment NPD
• Obhg Indiana, PC

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1811232218
  Medicare reassignment NPD
• Indiana University Health Paoli Inc

  dba IU Health Paoli Family and Internal Medicine

  • Rural Health Clinic/Center
  • Paoli, IN
  • NPI 1679182190
  NPD
• Aegis Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Bedford, IN
  • NPI 1114057189
  NPD (past)
• Iu Health Morgan Physicians, LLC

  • Clinic/Center
  • Martinsville, IN
  • NPI 1730424490
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Morgan Health Services, Inc

  • Family Medicine Physician
  • Martinsville, IN
  • NPI 1033110564
  NPD (past)
• Morgan Physician Specialists, LLC

  • Surgery Physician
  • Martinsville, IN
  • NPI 1104827633
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1811924475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 E HERITAGE WOODS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019313",
            "telephone_number": "812-320-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-352-9536",
            "fax_number": "765-349-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "DWIGHT",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01025006",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IN",
            "license": "01025006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1104827633",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "200377200",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003455410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dillon J Spencer, ATC, LAT
• Stability First, Inc.
• Nancy Jo Stafford-White, MS, RD, CD
• Kiersten Anne Stailey
• Alisha Staples
• John Randall Stinson, CADACII
• Charles Justin Stout, PHARMD
• Gregory Strock, M.D.
• Paige Sturm, LCSW
• Linda Sullivan, PT

• Gynecology Physician in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.