Lynn Leroy Staker, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

13918 Issued in WA

Practice address

900 Sheridan Medical Center
Ste 105
Bremerton, WA 98310-2701

Phone

(360) 479-0106

Fax

(360) 479-0107

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1952406456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN MEDICAL CENTER",
            "address_2": "STE 105",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102710",
            "telephone_number": "360-479-0106",
            "fax_number": "360-479-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN MEDICAL CENTER",
            "address_2": "STE 105",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-479-0106",
            "fax_number": "360-479-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKER",
        "first_name": "LYNN",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "13918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1835305",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "191646800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KITSAP PHYSICIANS SERVICE",
            "identifier": "1J0545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Staaf
• Randi Stacy
• Christopher J Stadtherr, MD
• Brenda Stagner
• Mary Louise Stahlhuth, MFT
• Cynthia Patricia Staley, MPT
• Imagany Stallworth
• Inomunique Stallworth
• Rachel Pamela Stamey, CD(DONA)
• Douglas L Stamp, PAC

• Orthopaedic Surgery Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.