Active NPI
Luke Michael Stapleton, M.D.
- Medical Oncology Physician
- Augusta, GA
National Provider Identifier
1952408304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD61275401
- Practice address
- 1 Freedom Way
Ms:509/02
Augusta, GA 30904-6258 - Phone
- (706) 481-6707
- Fax
- (478) 274-5832
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | MD61275401 | WA | |
| Hematology & Oncology Physician | 207RH0003X | MD61275401 | WA | |
| Hematology & Oncology Physician | 207RH0003X | 055450 | GA | |
| Medical Oncology Physician | 207RX0202X | MD61275401 | WA | Primary |
Addresses
Primary practice location
1 Freedom Way
Ms:509/02
Augusta, GA 30904-6258
Mailing address
PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 417-7111
Other practice location 1
844 N 5th Ave
Sequim, WA 98382-3045
Phone (360) 683-9895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1952408304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620146",
"telephone_number": "360-417-7111",
"fax_number": "360-417-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "MS:509/02",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-481-6707",
"fax_number": "478-274-5832"
}
],
"practiceLocations": [
{
"address_1": "844 N 5th Ave",
"address_purpose": "LOCATION",
"city": "Sequim",
"state": "WA",
"postal_code": "983823045",
"country_code": "US",
"telephone_number": "360-683-9895",
"fax_number": "360-582-5614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPLETON",
"first_name": "LUKE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "WA",
"license": "MD61275401",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD61275401",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "055450",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD61275401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.