DR. JAMES CLYDE STAUP JR. (NPI# 1366439820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366439820 |
Entity Type | Individual |
Full Name | DR. JAMES CLYDE STAUP JR. |
Credential | DDS |
Practice Address |
4881 Sugar Maple Dr Wright Patterson Afb OH 45433-5546 |
Mailing Address |
3152 Green Turtle Dr Dayton OH 45414-1700 |
Practice Telephone | 9372579556 |
Mailing Telephone | 9372640732 |
Enumeration Date | 2005-09-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
30-02-0132 | OH | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225067697 | James C Staup IIi | Optometrist | 6838 Highway 431 S, Suite A, Owens Cross Roads, AL 35763-7200 | 2006-06-30 |
Street Address |
4881 SUGAR MAPLE DR |
City | WRIGHT PATTERSON AFB |
State | OH |
Zip Code | 45433-5546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442813 | Michael Anthony Salerno | Military Health Care Provider | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-18 |
1780209957 | Stacey O'donnell | Nurse Anesthetist, Certified Registered | 4881 Sugar Maple Dr, 88mdg/sgcj, Wright Patterson Afb, OH 45433 | 2020-06-12 |
1043834328 | William Woodfin Crosby | Nurse Practitioner | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-03 |
1447872833 | Dayton Vamc | Clinic/Center | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-05-08 |
1629697750 | Firas Zako | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-09 |
1235768540 | Jacob David Harley | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-07 |
1326696527 | Rebecca Noel Seagraves | Pharmacist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-08-30 |
1154974095 | Lori Saturley | Dental Hygienist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-07-19 |
1902463987 | Stephen Seth Childers | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-05-24 |
1306409479 | Sean Roberts | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
Find all providers in zip 45433 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295069045 | Jennifer M Chan | Dentist | Wright Patterson Afb Hospital, Wright Patterson Afb, OH 45433 | 2009-09-28 |
1629697750 | Firas Zako | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-09 |
1306409479 | Sean Roberts | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-04-15 |
1578092656 | Patrick Edwards | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2017-06-12 |
1891981189 | Jeremy Brian Lake | Dentist | 4881 Sugar Maple Dr, 88mdg/sgdr, Wright Patterson Afb, OH 45433-5546 | 2007-09-20 |
1861469421 | Mark Eugene Muth | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2006-03-02 |
1891775219 | John Robert Bettineschi Jr. | Dentist | 4881 Sugar Maple Dr, 88mdg/sgd, Wright Patterson Afb, OH 45433-5546 | 2006-01-20 |
1912986845 | James Frederick Knowles | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2006-01-10 |
1083605703 | John Gilbert Warnick | Dentist | 4881 Sugar Maple Dr, 88mdg/sgd, Wright Patterson Afb, OH 45433-5546 | 2005-11-02 |
1023009065 | Richard Isaac Vance | Dentist | 4881 Sugar Maple Dr, 88th Dental Squadron, Wright Patterson Afb, OH 45433-5546 | 2005-10-31 |
Find all providers in WRIGHT PATTERSON AFB |
City | WRIGHT PATTERSON AFB |
Zip Code | 45433 |
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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.