MRS. RACHAEL ELIZABETH STAUB MS PA-C NPI 1518361856

NPI Information

NPI: 1518361856
Provider Name: MRS. RACHAEL ELIZABETH STAUB, MS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PROSPECT CT MEDICAL FOUNDATION INC

PECOS Registration: Yes

Address:
160 ROBBINS ST
WATERBURY, CT
ZIP 06708
Phone: (203) 573-7284
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MRS. Rachael Elizabeth Staub, MS, PA-C is a surgical physician assistant in Waterbury, CT with 10 years of experience. MRS. Rachael Elizabeth Staub, MS, PA-C NPI is 1518361856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 ROBBINS ST
WATERBURY, CT
ZIP 06708-652
Phone: (203) 573-7284

The NPI 1518361856 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 10/15/2014 and was last updated on 7/7/2021.

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	3430	CONNECTICUT	Yes
2	363AS0400X	Physician Assistant	Surgical	017874	NEW YORK	No
3	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	017874	NEW YORK	No

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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