Individual provider Active NPI

James Stauber, MD

  • Internal Medicine Physician
  • Goffstown, NH
National Provider Identifier
1902816093
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NH11467 Issued in NH
Practice address
Goffstown Primary Care 542 Mast Road
Goffstown, NH 03045-5258
Phone
(603) 647-9888
Fax
(603) 663-8015
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NH11467 NH Primary

Addresses

Primary practice location

Goffstown Primary Care 542 Mast Road
Goffstown, NH 03045-5258

Mailing address

82 Stowell Rd
Bedford, NH 03110-4717
Phone (603) 472-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308002589 NH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7315831831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NH11467NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Services of New Hampshire, PC Internal Medicine Past Accepting new patients
Parkland Physician Services, Inc. Past Accepting new patients
Parkland Physician Services Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1902816093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 STOWELL RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104717",
            "telephone_number": "603-472-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOFFSTOWN PRIMARY CARE 542 MAST ROAD",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030455258",
            "telephone_number": "603-647-9888",
            "fax_number": "603-663-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "NH11467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

Verify at the official NPI Registry.