DR. BRUCE WAYNE STAEHELI MD NPI 1508998899

NPI Information

  • NPI: 1508998899
  • Provider Name: DR. BRUCE WAYNE STAEHELI, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 119 CLUBHOUSE PL
    ELK CITY, OK
    ZIP 73644
  • Phone: (580) 303-4664

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NPI Details

DR. Bruce Wayne Staeheli, MD is an emergency medicine in Elk City, OK. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Bruce Wayne Staeheli, MD NPI is 1508998899. 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:

119 CLUBHOUSE PL
ELK CITY, OK
ZIP 73644-301
Phone: (580) 303-4664

The NPI 1508998899 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)

The enumeration date for this NPI number is 3/12/2007 and was last updated on 9/16/2008.

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
1207P00000XEmergency Medicine35 072661OHIOYes

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
12015698MEDICAIDOHIO
2ST4242911MEDICARE PINWEST VIRGINIA
3ST0887294MEDICARE PINOHIO
4000000561000OTHEROHIOANTHEM
51062641OTHERWEST VIRGINIAWV DWC
6ST0887293MEDICARE PINOHIO
7000000381808OTHEROHIOANTHEM
8P00461390MEDICARE PINOHIO
93810012159MEDICAIDWEST VIRGINIA
10$$$$$$$$$-00OTHEROHIOOHIO BWC

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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