BENJAMIN M STAGE M.D. NPI 1366512428

NPI Information

NPI: 1366512428
Provider Name: BENJAMIN M STAGE, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1136 OLIVER RD
MONROE, LA
ZIP 71201
Phone: (318) 322-3250
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Benjamin M Stage, M.D. is a general practice in Monroe, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Benjamin M Stage, M.D. NPI is 1366512428. 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:

1136 OLIVER RD
MONROE, LA
ZIP 71201-714
Phone: (318) 322-3250
Fax: (318) 322-3260

The enumeration date for this NPI number is 11/8/2006 and was last updated on 6/29/2015.

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	208D00000X	General Practice		012235	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	721145487	OTHER	LOUISIANA	TAX ID NO.
2	721304084	OTHER	LOUISIANA	TAX ID BAS
3	B65914	MEDICARE UPIN	LOUISIANA
4	72-1396339	OTHER	LOUISIANA	TAX ID PEGASUS MEDICAL SERVICES, INC.

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: 4/28/2024

NPI Synchronization or Removal

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