DR. EARL RAY STAGG M.D. NPI 1508866963

NPI Information

  • NPI: 1508866963
  • Provider Name: DR. EARL RAY STAGG, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2800 1ST AVE
    SUITE C
    LAKE CHARLES, LA
    ZIP 70601
  • Phone: (337) 491-9880

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NPI Details

DR. Earl Ray Stagg, M.D. is a family medicine in Lake Charles, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Earl Ray Stagg, M.D. NPI is 1508866963. 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:

2800 1ST AVE
SUITE C
LAKE CHARLES, LA
ZIP 70601-884
Phone: (337) 491-9880
Fax: (337) 433-3268

The enumeration date for this NPI number is 7/28/2005 and was last updated on 11/14/2016.

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
1207Q00000XFamily MedicineMD010857LOUISIANAYes

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
11133663MEDICAIDLOUISIANA
255502CE16OTHERLOUISIANAMEDICARE ID
3B65757MEDICARE UPINLOUISIANA

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: 11/21/2025

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