CHARLES AUGUSTIN STALEY (NPI# 1134132657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134132657 |
Entity Type | Individual |
Full Name | CHARLES AUGUSTIN STALEY |
Credential | MD |
Practice Address |
1365 Clifton Rd Ne Bldg C Atlanta GA 30322-1013 |
Practice Telephone | 4047783301 |
Mailing Telephone | 4047783301 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2011-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
040559 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BCBS | 542386 | 01 |
GA | RAILROAD MEDICARE | 910000107 | 01 |
GA | 000664331A | 05 | |
GA | UNITED HEALTHCARE | 1299416 | 01 |
GA | US HEALTHCARE | 581116 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518249747 | Charles Ryan Staley | Pharmacist | 3093 Cleveland Ave, Columbus, OH 43224-3684 | 2011-09-14 |
1487694147 | Charles A Staley | Hospitalist | 489 State St, Emic Kelley 6, Bangor, ME 04401-6616 | 2006-06-08 |
Street Address |
1365 CLIFTON RD NE BLDG C |
City | ATLANTA |
State | GA |
Zip Code | 30322-1013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022637 | Richard Duszak Jr. | Radiology | 1365 Clifton Rd Ne, Emory University Department of Radiology, Atlanta, GA 30322-1013 | 2005-06-13 |
1891319091 | Kayla Sondria Freeman | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-06-03 |
1548881576 | Rachelle Leona Rouse | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-30 |
1982233227 | Kayla Anne Nichols | Pharmacist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-08 |
1326675380 | Tankeia Tanye' Warren | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-03-26 |
1407488687 | Bethany Joan Hanscom | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-02-06 |
1518505577 | Juanjuan Wu | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-20 |
1942847587 | Nour Majed Moukalled | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-02 |
1528604816 | Tram Bao Vu | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-11-21 |
1083266845 | Desiree Morgan Rogers | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
Find all providers in zip 30322 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902003684 | Nicole Kounalakis | Surgery | 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 | 2007-06-27 |
1780746289 | Cletus Anthony Arciero | Surgery | 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 | 2006-12-14 |
1083634067 | William Wood | Surgery | 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-20 |
1487898276 | Preeti Dilip Subhedar | Surgery | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2009-04-24 |
1235225889 | Eddie K. Abdalla | Surgery | 980 Johnson Ferry Rd, Suite 170, Atlanta, GA 30342-1626 | 2006-10-04 |
1417960931 | David Kooby | Surgery | 1365 Clifton Rd Ne, 2nd Floor, Atlanta, GA 30322-1013 | 2006-08-14 |
1366454753 | Toncred M Styblo | Surgery | 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 | 2006-08-13 |
1124030390 | Keith Delman | Surgery | 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 | 2006-08-13 |
1376567339 | Sheryl Gabram | Surgery | 1365c Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-26 |
1114949237 | Monica Rizzo | Surgery | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.