Active NPI
Christopher D. Stager, PA.
- Physician Assistant
- Brighton, MA
National Provider Identifier
1992850440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1731
- Practice address
- 11 Nevins St.
Ste 306
Brighton, MA 02135 - Phone
- (617) 789-2045
- Fax
- (617) 789-2932
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1731 | MA | Primary |
Addresses
Primary practice location
11 Nevins St.
Ste 306
Brighton, MA 02135
Mailing address
77 Warren St
RM 339
Brighton, MA 02135
Phone (617) 562-5359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1731 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
Interoperability endpoints
- stager.christopher.mgh@direct.partners.masshiway.net
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1992850440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"address_2": "RM 339",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-562-5359",
"fax_number": "617-562-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEVINS ST.",
"address_2": "STE 306",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-789-2045",
"fax_number": "617-789-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGER",
"first_name": "CHRISTOPHER",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "PA.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.