Joseph Stavas, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

17407 Issued in NE

Practice address

601 N 30TH St
Omaha, NE 68131-2128

Phone

(402) 449-4416

Fax

(402) 449-4525

NPI assigned

Oct 20, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1821170424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 DUPONT CT",
            "address_2": "SUITE 304",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442153",
            "telephone_number": "402-597-8775",
            "fax_number": "402-597-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312128",
            "telephone_number": "402-449-4416",
            "fax_number": "402-449-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVAS",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "17407",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "17407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902317",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenda M Stauffer, CNM
• Kelsa L Stauffer
• Roinin Staunovo Polacco
• Daniel Joseph Stava, PLMHP
• Stephanie Monica Stava, LIMHP
• Claire Stavenga, MD
• Jacob Stawniak, RN
• Stay Graceful Nebraska Inc
• Stay Strong Physical Therapy and Wellness
• Elizabeth Stayer

• Vascular & Interventional Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Vascular & Interventional Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.