NPIMap

Organization Active NPI

John G Stagias MD PC

  • Gastroenterology Physician
  • Southbridge, MA
National Provider Identifier
1992913982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
80381 Issued in MA
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Gus Stagias, MDNPI 1023012424
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000024 MA Part B Supplier - Clinic/Group Practice 7416041488 Receives reassigned benefits from 5 practitioners
Practice locations: Southbridge, MA; Sturbridge, MA; Worcester, MA

National Provider Directory

National Provider Directory

Locations

428 Hamilton St
Southbridge, MA 01550
Phone (508) 344-2445

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, and the practitioner matching its NPPES authorized official.

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": [],
    "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.

Verify at the official NPI Registry.