Russell A Stagg (NPI# 1720356496, PAC ID# 2961663489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1720356496 |
| PAC ID by PECOS | 2961663489 |
| Professional Enrollment ID | I20141022000703 |
| Full Name | Russell A Stagg |
| Address |
2460 Patterson Rd Unit 4 Grand Junction CO 81505-1027 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061325 | EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 1035 Wellington Ave, Grand Junction, CO 81501-8122 | 9702426600 | ECGJ ANESTHESIA LLC |
| 2460 Patterson Rd, Unit 4, Grand Junction, CO 81505-1027 |
| Street Address |
2460 PATTERSON RD UNIT 4 |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81505-1027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Luby | Optometry | Western Rockies Eye Center PC | 2460 Patterson Rd, Unit 2, Grand Junction, CO 81505-1027 |
| Haley Shae Oberst | Physician Assistant | Gastroenterology Associates of Western Colorado,p C | 2460 Patterson Rd, Unit 4, Grand Junction, CO 81505-1027 |
| Gregory E Kellam | Ophthalmology | Western Rockies Eye Center PC | 2460 Patterson Rd, Unit 2, Grand Junction, CO 81505-1027 |
| Judith Ann Shue | Nurse Practitioner | Gastroenterology Associates of Western Colorado,p C | 2460 Patterson Rd, Unit 4, Grand Junction, CO 81505-1027 |
| Tracy D Carter | Ophthalmology | Western Rockies Eye Center PC | 2460 Patterson Rd, Unit 2, Grand Junction, CO 81505-1027 |
| Masi Khaja | Gastroenterology | Gastroenterology Associates of Western Colorado,p C | 2460 Patterson Rd, Unit 4, Grand Junction, CO 81505-1027 |
| Julie Erickson | Certified Registered Nurse Anesthetist | Mesa Pain Specialists LLC | 2460 Patterson Rd, Unit 4, Grand Junction, CO 81505-1027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Allen Rexroth Jr. | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Katelyn Joy Weaver | Nurse Practitioner | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Kameron Watson | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Duane Lee Fenton | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| A'lanne Conrad | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Megan Charlene Sisk | Pulmonary Disease | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Kirk D Clifford | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Daniel Craig Meister | Physical Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Mitchell T Copeland | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Joshua David Thun | Podiatry | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Find all physicians in zip 81505 | |||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GRAND JUNCTION + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.