MICHAEL JAMES STAGNER (NPI# 1720069982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720069982 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES STAGNER |
| Credential | MD |
| Practice Address |
40 Capri Blvd Ste 102 Lake Havasu City AZ 86403-5661 |
| Mailing Address |
4800 N 22nd St Ste 210 Phoenix AZ 85016-4963 |
| Practice Telephone | 9288559477 |
| Practice Fax Number | 9288552983 |
| Mailing Telephone | 6029551000 |
| Mailing Fax Number | 6025084830 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24627 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 359788 | 05 |
| Street Address |
40 CAPRI BLVD STE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699882977 | Lorne P Schlecht | Ophthalmology | 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403-5661 | 2006-08-24 |
| 1841276979 | Steve J Kopp | Optometrist | 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403-5661 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245627371 | Barnet Dulaney Perkins Eye Center, Pllc | Ophthalmology | 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 2015-04-15 |
| 1699882977 | Lorne P Schlecht | Ophthalmology | 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403-5661 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1376057349 | K E Express Pllc | Ophthalmology | 16425 E Palisades Blvd Ste 102, Fountain Hills, AZ 85268-3754 | 2017-11-28 |
| 1891241964 | Arizona Retina Associates, Pllc | Ophthalmology | 6262 E Broadway Rd Ste 106, Mesa, AZ 85206-6101 | 2016-08-29 |
| 1417310855 | Michael Johnson | Ophthalmology | 729 N Ocotillo Ln, Gilbert, AZ 85233-3707 | 2016-04-02 |
| 1679936512 | Sravanthi Vegunta | Ophthalmology | 11023 N Saint Andrews Way, Scottsdale, AZ 85254-4801 | 2016-03-29 |
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1316332596 | M & M Eye Institute, Plc | Ophthalmology | 399 W Palomino Rd, Chino Valley, AZ 86323-5648 | 2015-04-03 |
| 1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
| 1982010773 | Phoenix Eye Group, LLC | Ophthalmology | 10250 N 92nd St Ste 105, Scottsdale, AZ 85258-4517 | 2014-07-01 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.