Charla L Staggs (NPI# 1215022512, PAC ID# 6709883499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1215022512 |
PAC ID by PECOS | 6709883499 |
Professional Enrollment ID | I20071114000081 |
Full Name | Charla L Staggs |
Organization Legal Name | BLACK STONE HEALTH PC |
Address |
2358 Nw Kings Blvd Suite 100 Corvallis OR 97330-3925 |
Phone Number | 5413685986 |
Gender | F |
Credential | PA |
Graduation Year | 2006 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2163641150 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
380014 | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2358 Nw Kings Blvd, Suite 100, Corvallis, OR 97330-3925 | 5413685986 | BLACK STONE HEALTH PC |
Organization Legal Name | BLACK STONE HEALTH PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marc E Musson | Physical Medicine and Rehabilitation | Black Stone Health PC | 2358 Nw Kings Blvd, Suite 100, Corvallis, OR 97330-3925 |
Street Address |
2358 NW KINGS BLVD SUITE 100 |
City | CORVALLIS |
State | OR |
Zip | 97330-3925 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marc E Musson | Physical Medicine and Rehabilitation | Black Stone Health PC | 2358 Nw Kings Blvd, Suite 100, Corvallis, OR 97330-3925 |
Name | Specialty | Organization | Address |
---|---|---|---|
George R House Iii | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
John Winckler | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
Michael W Sorah | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
Todd D Bilby | Chiropractic | 970 Nw Circle Blvd, Corvallis, OR 97330-1410 | |
Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Richard C Havard | Plastic and Reconstructive Surgery | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Kindra Talia Newhart | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Kathleen A Lynch | Physical Therapy | 2323 Nw 9th St, Corvallis, OR 97330-1573 | |
Erica D Prince | Psychologist, Clinical | 2945 Nw Mulkey Ave, Corvallis, OR 97330-1836 | |
Find all physicians in zip 97330 |
City | CORVALLIS |
Zip Code | 97330 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CORVALLIS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Charla L Staggs.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.