Active NPI
Dennis R Staggs, D.O.
- Emergency Medicine Physician
- McAlester, OK
National Provider Identifier
1831139526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2212
- Practice address
- 1 E Clark Bass Blvd
McAlester, OK 74501-4209 - Phone
- (918) 426-1800
- Fax
- (918) 421-8066
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2212 | OK | Primary |
Addresses
Primary practice location
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Mailing address
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 426-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100214950B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2212 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Ghazi M. Rayan, MD, Inc. | Past | Accepting new patients | |
| Lawton Urology | Past | Accepting new patients |
Locations
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1972807667
-
- Urology Physician
- Lawton, OK
- NPI 1760997092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1831139526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "918-426-1800",
"fax_number": "918-421-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "918-426-1800",
"fax_number": "918-421-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGS",
"first_name": "DENNIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "2212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100214950B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.