Active NPI
John G Stagias MD PC
- Gastroenterology Physician
- Southbridge, MA
National Provider Identifier
1992913982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 80381
- Legal business name
- JOHN G STAGIAS MD PC
- Practice address
- 428 Hamilton St
Southbridge, MA 01550-1859 - Phone
- (508) 765-1600
- Fax
- (508) 764-2502
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Gus Stagias, MD
- Title
- Dr John G Stagias
- Phone
- (508) 765-1600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 80381 | MA | Primary |
Addresses
Primary practice location
428 Hamilton St
Southbridge, MA 01550-1859
Mailing address
428 Hamilton St
Southbridge, MA 01550-1859
Phone (508) 765-1600
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983813 | Other | MA | NETWORK HEALTH |
| S029063 | Other | MA | CHAMPUS |
| 010080381MA01 | Other | CT | ANTHEM BCBS |
| 452850 | Other | MA | AETNA US HEALTHCARE |
| 64553 | Other | MA | HARVARD PILGRIM |
| 080381 | Other | MA | TUFTS |
| 9773916 | Medicaid | MA | |
| 21577 | Other | MA | FALLON COM HEAOTH PLAN |
| 33988 | Other | MA | BMC |
| M16031 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
428 Hamilton St
#2
Southbridge, MA 01550
198 Charlton Rd
Ste 2
Sturbridge, MA 01566
198 Charlton Rd
Ste 6
Sturbridge, MA 01566
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Southbridge, MA
- NPI 1023012424
-
- Nurse Practitioner
- Sturbridge, MA
- NPI 1780373886
-
- Gastroenterology Physician
- Worcester, MA
- NPI 1942306261
-
- Family Medicine Physician
- Charlton, MA
- NPI 1780895433
-
- Family Nurse Practitioner
- Worcester, MA
- NPI 1700421526
-
- Obstetrics & Gynecology Physician
- Southbridge, MA
- NPI 1104810977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992913982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 HAMILTON ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015501859",
"telephone_number": "508-765-1600",
"fax_number": "508-764-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 HAMILTON ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015501859",
"telephone_number": "508-765-1600",
"fax_number": "508-764-2502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN G STAGIAS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STAGIAS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "GUS",
"authorized_official_title_or_position": "DR JOHN G STAGIAS",
"authorized_official_telephone_number": "508-765-1600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "80381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "983813",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "S029063",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010080381MA01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "452850",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "64553",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "080381",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9773916",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COM HEAOTH PLAN",
"identifier": "21577",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "33988",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M16031",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.