MR. EARL RAYMOND STADDON (NPI# 1346226677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346226677 |
| Entity Type | Individual |
| Full Name | MR. EARL RAYMOND STADDON |
| Credential | DO |
| Practice Address |
119 S Main St Union OH 45322-3300 |
| Practice Telephone | 9378362309 |
| Practice Fax Number | 9378367117 |
| Mailing Telephone | 9378362309 |
| Mailing Fax Number | 9378367117 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
340019485 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0159046 | 05 |
| Street Address |
119 S MAIN ST |
| City | UNION |
| State | OH |
| Zip Code | 45322-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1184181372 | Arianna Genovesi | Health Educator | 885 North Union Road, Englewood, OH 45322 | 2019-02-25 |
| 1740768803 | Michelle Mitchell | Nurse Practitioner | 6700 Commerce Center Drive, Vandalia, OH 45322 | 2018-08-01 |
| 1306260500 | Bonni Buchanan | Contractor | 3540 Artistic Court, Englewood, OH 45322 | 2014-02-07 |
| 1821246745 | Nancy G Osborn | Physical Therapy Assistant | 425 Lauricella Ct., Englewood, OH 45322 | 2008-09-04 |
| 1598936452 | Samaritan Family Care Inc | Clinical Nurse Specialist | 885 Union Road, Englewood, OH 45322 | 2008-03-19 |
| 1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1508953548 | David M Kreusch Dc Corp | Chiropractor | 5 Jefferson Street, Englewood, OH 45322 | 2006-10-10 |
| 1043328529 | Louis J Vitangeli | Dentist | 320 Union Blvd, Englewood, OH 45322 | 2006-08-26 |
| Find all providers in zip 45322 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114908415 | Philip Clarence Groce | Family Medicine | 321 Appleton Rd, Union, ME 04862-4824 | 2005-11-14 |
| 1134104516 | Steven Alan Eisenstat | Family Medicine | 1050 Galloping Hill Rd, Suite 202, Union, NJ 07083-7983 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645779 | Francis Dapaah | Family Medicine | 1264 Brainard Rd, Lyndhurst, OH 44124-1404 | 2019-11-27 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1780009928 | Js Aesthetics | Family Medicine | 2400 Passage Key Trl, Xenia, OH 45385-9212 | 2014-02-25 |
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1902152366 | Mason Family Health Center LLC | Family Medicine | 7808 Derbyshire Ct, Liberty Township, OH 45044-9049 | 2012-08-02 |
| 1548539976 | Eva Ray Lefton | Family Medicine | 16 Deerfield Ln, Beachwood, OH 44122-7502 | 2011-12-13 |
| 1508189499 | Senior Care Physicians, Inc. | Family Medicine | 1745 Indian Wood Cir Ste 252, Maumee, OH 43537-4168 | 2010-03-05 |
| 1639404171 | Midwest Dysphagia Consultants, LLC | Family Medicine | 5710 Wooster Pike Ste 102, Cincinnati, OH 45227-4520 | 2009-10-15 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
| 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.