JAMES R STACHOWIAK P.A. NPI 1417059627

NPI Information

NPI: 1417059627
Provider Name: JAMES R STACHOWIAK, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

PECOS Registration: Yes

Address:
2728 SUNSET BLVD
SUITE 106
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 462-0423
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James R Stachowiak, P.A. is a surgical physician assistant in West Columbia, SC with 22 years of experience. James R Stachowiak, P.A. NPI is 1417059627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2728 SUNSET BLVD
SUITE 106
WEST COLUMBIA, SC
ZIP 29169-840
Phone: (803) 462-0423
Fax: (803) 462-0432

The NPI 1417059627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	761	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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