MARK JOSEPH STAVAS (NPI# 1336468636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336468636 |
| Entity Type | Individual |
| Full Name | MARK JOSEPH STAVAS |
| Credential | MD |
| Practice Address |
3901 Pine Lake Rd Ste 111 Lincoln NE 68516-5497 |
| Mailing Address |
201 S 68th Street Pl Ste 200 Lincoln NE 68510-2496 |
| Practice Telephone | 4024816090 |
| Practice Fax Number | 4024816089 |
| Mailing Telephone | 4024207000 |
| Mailing Fax Number | 4024207240 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
30395 | NE | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD53147 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 166343 | NC | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q017678 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 S 68th Street Pl Ste 200, Lincoln, NE 685102496 | 4024207000 | 4024207240 |
| 3601 The Vanderbilt Clinic, Nashville, TN 372325100 | 6153223000 | 6159360605 |
| Street Address |
3901 PINE LAKE RD STE 111 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629184015 | Williamsburg Radiation Oncology PC | Radiology | 6101 Village Dr, Suite 100, Lincoln, NE 68516-5830 | 2006-08-21 |
| 1508881244 | Phillip R Hynes | Radiology | 201 South 68th Street Place, Suite 100, Lincoln, NE 68510-2496 | 2006-07-13 |
| 1366475758 | Nebraska Intensity Modulated Radiotherapy PC | Radiology | 8001 Eiger Dr, Lincoln, NE 68516-6537 | 2006-07-08 |
| 1265426175 | Joseph Kam H Chiu | Radiology | 201 S 68th Street Pl, Suite 200, Lincoln, NE 68510-2496 | 2005-09-07 |
| 1831301381 | Kevin Yiee | Radiology | 555 S 70th St, St. Elizabeth Dept of Radiation Oncology, Lincoln, NE 68510-2462 | 2007-05-04 |
| 1689781155 | Undine Jean Howell-burke | Radiology | 555 S 70th St, Lincoln, NE 68510-2462 | 2006-08-23 |
| 1508973082 | Advanced Radiation Therapy and Oncology, PC | Radiology | 555 S 70th St, Lincoln, NE 68510-2462 | 2006-08-23 |
| 1992811376 | Raju Rao | Radiology | 3901 Pine Lake Rd, Suite 111, Lincoln, NE 68516-5497 | 2006-08-21 |
| 1437171089 | Bennett R Barrios | Radiology | 201 S 68th Street Pl, Suite 100, Lincoln, NE 68510-2496 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700378577 | Brock Carl Harnisch | Radiology | 2230 E 12th St, Fremont, NE 68025-1610 | 2018-06-06 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1912268897 | Amir Zahra | Radiology | 6901 N 72nd St Ste 2244, Omaha, NE 68122-1709 | 2012-06-06 |
| 1043261639 | Joan I Keit | Radiology | 3764 39th Ave, Columbus, NE 68601-4564 | 2006-05-16 |
| 1285258558 | Gina R Brown | Radiology | 104 W 33rd St, Kearney, NE 68847-2959 | 2020-06-02 |
| 1043622764 | Michael Baine | Radiology | 505 S. 45th St, Omaha, NE 68198-1045 | 2014-05-29 |
| 1336402874 | Nathan Ronald Bennion | Radiology | 515 S 48th St, Omaha, NE 68198-4334 | 2012-06-20 |
| 1083901698 | Nicole Wanda Catherine Nolan | Radiology | 8303 Dodge St, Suite Ll6, Omaha, NE 68114-4108 | 2011-07-03 |
| 1902124936 | Chi Zhang | Radiology | Emile 42nd St, Omaha, NE 68198-1045 | 2010-05-14 |
| 1073844114 | Sandhills Oncology PC | Radiology | 601 W Leota St, North Platte, NE 69101-6525 | 2010-01-28 |
| Find all providers with the same taxonomy | ||||
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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.