MR. RANDOLPH LEE STAGG (NPI# 1861573479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861573479 |
| Entity Type | Individual |
| Full Name | MR. RANDOLPH LEE STAGG |
| Practice Address |
80 W 78th St Suite 265 Chanhassen MN 55317-8715 |
| Practice Telephone | 9529346000 |
| Practice Fax Number | 9529346760 |
| Mailing Telephone | 9529346000 |
| Mailing Fax Number | 9529346760 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | E595041887419 | MN | Suppliers |
| Street Address |
80 W 78TH ST SUITE 265 |
| City | CHANHASSEN |
| State | MN |
| Zip Code | 55317-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760582324 | Paul Bradley Ousman | Psychologist | 80 W 78th St, Suite 285a, Chanhassen, MN 55317-8715 | 2006-09-24 |
| 1447574884 | Yael M Rubin | Counselor | 80 W 78th St, #280a, Chanhassen, MN 55317-8715 | 2010-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245717 | Thaddeus Sharikov | Chiropractor | 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 | 2016-06-10 |
| 1720461668 | Steven C Witmer | Counselor | Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 | 2015-07-08 |
| 1194078584 | Kentaro Ishikawa | Dentist | 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 | 2012-10-22 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1528273299 | Cam-tu Nguyen Dalluge | Dentist | 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 | 2007-05-14 |
| 1194938910 | Sheri Hinrichs | Psychologist | 600 W. 78th St. #220, Chanhassen, MN 55317 | 2007-05-08 |
| 1891833059 | Great Plains Dental | Dentist | 500 W 79th St, Chanhassen, MN 55317 | 2007-02-01 |
| 1073665014 | Judith Aarsvold Indrelie | Psychologist | 600 West 78th Street, Chanhassen, MN 55317 | 2007-01-18 |
| 1285709410 | Diane Patricia O'grady | Psychiatry & Neurology | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2006-11-22 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| Find all providers in zip 55317 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306928320 | Medtronic Care Management Services, LLC | Durable Medical Equipment & Medical Supplies | 7980 Century Blvd, Chanhassen, MN 55317-8000 | 2006-10-19 |
| 1659386886 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 600 W 79th St, Chanhassen, MN 55317 | 2006-07-29 |
| 1922057736 | Orthotics Geriatrics, Inc. | Durable Medical Equipment & Medical Supplies | 2102 Clover Ct, Chanhassen, MN 55317-8353 | 2006-05-09 |
| 1629183769 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 7900 Market Blvd, Chanhassen, MN 55317-4565 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041782 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 701 Hewitt Blvd Ste 2115, Red Wing, MN 55066-2848 | 2020-10-19 |
| 1144827197 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1151 Ryans Rd Ste 100, Worthington, MN 56187-1769 | 2020-10-02 |
| 1932706082 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 131 St Olaf Ave N, Canby, MN 56220-1371 | 2020-10-01 |
| 1154936540 | Caerus Corp | Durable Medical Equipment & Medical Supplies | 1251 Red Fox Rd # 603, Arden Hills, MN 55112-6943 | 2020-09-11 |
| 1043829286 | Janet Kay Strassburg | Durable Medical Equipment & Medical Supplies | 4601 Excelsior Blvd Ste 401, St Louis Park, MN 55416-4977 | 2020-07-23 |
| 1336766294 | Royal Apex Solutions LLC | Durable Medical Equipment & Medical Supplies | 700 Fox Rd, Lino Lakes, MN 55014-5468 | 2020-06-26 |
| 1215554225 | Mesa, LLC | Durable Medical Equipment & Medical Supplies | 2603 Bloomington Ave, Minneapolis, MN 55407-1137 | 2020-06-26 |
| 1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
| 1942829569 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2300 Hasting Ave, Suite 1, Newport, MN 55055 | 2020-04-14 |
| 1508495797 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1201 Center Ave W, Dilworth, MN 56529-1352 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | CHANHASSEN |
| Zip Code | 55317 |
Please comment or provide details below to improve the information on MR. RANDOLPH LEE STAGG.
| 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.