DR. CHARLES L STACKHOUSE (NPI# 1932174497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932174497 |
| Entity Type | Individual |
| Full Name | DR. CHARLES L STACKHOUSE |
| Credential | MD |
| Practice Address |
4 Coulter Rd Clifton Springs NY 14432-1122 |
| Mailing Address |
4567 Crossroads Park Dr Liverpool NY 13088-3589 |
| Practice Telephone | 3154622636 |
| Practice Fax Number | 3154622638 |
| Mailing Telephone | 3152952100 |
| Mailing Fax Number | 3152952125 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2013-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1430991 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 143099 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00835396 | 05 |
| Street Address |
4 COULTER RD |
| City | CLIFTON SPRINGS |
| State | NY |
| Zip Code | 14432-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497307276 | Suzamie J Farnsworth Do, P.C. | General Practice | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-07-12 |
| 1679064976 | Nora C Palumbo | Audiologist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2018-05-22 |
| 1184143661 | Abbey M Francis | Hearing Instrument Specialist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-09-15 |
| 1083159750 | Adam Sheppard | Audiologist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-01-04 |
| 1770990095 | David Engelman | Audiologist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2014-07-18 |
| 1245590769 | Clifton Audiology | Audiologist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2012-05-17 |
| 1710261946 | Jaime Leigh Westbrook | Audiologist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2011-10-06 |
| 1841594447 | Integrative Family Care At The Springs Pllc | Family Medicine | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2010-12-23 |
| 1467764456 | Kathy L Lightner | Nurse Practitioner | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2010-07-08 |
| 1326161472 | Yvonne Claire Carnevale | Pharmacist | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035259 | David Roemer | Psychiatry & Neurology | 28 E Main Street, Clifton Springs, NY 14432 | 2013-12-11 |
| 1477821122 | Margaret Lewis Carlson | Registered Nurse | 1510 Rt 488, Clifton Springs, NY 14432 | 2011-12-09 |
| 1063698769 | Debra J Gates | Nurse Practitioner | Rrhs Clifton Springs Hospital and Clinic - Endocrine, 2 Coulter Rd, Clifton Springs, NY 14432 | 2008-01-14 |
| 1154457042 | Elaine M. Allen | Massage Therapist | 31 Pleasant Street, Clifton Springs, NY 14432 | 2007-02-26 |
| 1568514271 | Tracy Ford | Physical Therapist | 440 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2007-01-16 |
| 1265482400 | Lynn M Sievert | Internal Medicine | 6 Ambulance Drive, Clifton Springs, NY 14432 | 2006-05-10 |
| 1376531590 | Ileana Hernandez | Internal Medicine | 2 Coulter Rd, Clifton Springs, NY 14432 | 2005-10-11 |
| 1366434011 | Finger Lakes Area Counseling and Recovery Agency, Inc. | Clinic/Center | 28 E Main St, Clifton Springs, NY 14432 | 2005-08-18 |
| 1104483858 | Mara Elizabeth Schroeder | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432 | 2019-05-28 |
| 1972024602 | Andrea L Nichols | Specialist/Technologist, Other | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-07-03 |
| Find all providers in zip 14432 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326152489 | Matthew Perry Schiralli | Surgery | 4 Coulter Rd Ste 2605, Clifton Springs, NY 14432-1122 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON SPRINGS |
| Zip Code | 14432 |
Please comment or provide details below to improve the information on DR. CHARLES L STACKHOUSE.
| 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.