Stayton Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STAYTON FAMILY PRACTICE INC

Practice address

1881 W Washington St
Stayton, OR 97383-9511

Phone

(503) 400-6140

Fax

(503) 769-3797

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lance B Large, MD

Title

Owner

Phone

(503) 400-6140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1912130915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W WASHINGTON ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973839511",
            "telephone_number": "503-400-6140",
            "fax_number": "503-769-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 W WASHINGTON ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973839511",
            "telephone_number": "503-400-6140",
            "fax_number": "503-769-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYTON FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LARGE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-400-6140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Silver, M.D.
• Alison Adele Smith
• Meghan Dionndra Smith, DPT
• Christian Lee Spencer, P.A.
• Stayton Chiropractic, LLC
• Stayton Family Practice LLC
• Stayton Pharmacy, LLC
• Stayton SW Assisted Living LLC
• Elizabeth Stefan, RPH
• Heather Stinger

• Family Medicine Physician in Stayton, OR
• Providers in Stayton, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.