JOSEPH STAVAS MD NPI 1821170424

NPI Information

NPI: 1821170424
Provider Name: JOSEPH STAVAS, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
601 N 30TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 449-4416
Get Directions

Joseph Stavas, MD is a vascular and interventional radiology radiology in Omaha, NE. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Joseph Stavas, MD NPI is 1821170424. 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:

601 N 30TH ST
OMAHA, NE
ZIP 68131-128
Phone: (402) 449-4416
Fax: (402) 449-4525

The NPI 1821170424 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 10/20/2006 and was last updated on 7/5/2016.

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
1	2085R0202X	Radiology	Diagnostic Radiology	17407	NEBRASKA	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	17407	NEBRASKA	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
1	092263017	MEDICARE PIN	NEBRASKA
2	5902317	MEDICAID	NORTH CAROLINA
3	NA1355037	MEDICARE PIN	NEBRASKA
4	B90958	MEDICARE UPIN	NORTH CAROLINA

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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