Earl Raymond Staddon in Union - Geriatric Medicine
Earl Raymond Staddon - NPI 1346226677
Earl Raymond Staddon is a Geriatric Medicine in Union, Ohio. Earl Raymond Staddon practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Earl Raymond Staddon is 1346226677. The last update date is 2012-09-12.
Earl Raymond Staddon's current location address is 119 S Main St, Union, Ohio. You can contact this provider via phone number 9378362309 and fax number 9378367117. The mailing address for Earl Raymond Staddon is 119 S Main St, Union, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl Raymond Staddon |
|---|---|
| Address | 119 S Main St, Union, Ohio |
| Phone Number | 9378362309 |
| Fax Number | 9378367117 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1346226677 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2012-09-12 |
Provider Mailing Address Detail
| Address | 119 S Main St |
|---|---|
| City | Union |
| State | Ohio (OH) |
| Post Code | 453223300 |
| Phone Number | 9378362309 |
| Fax Number | 9378367117 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 340019485 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 159046 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Earl Raymond Staddon by the Centers for Medicare & Medicaid Services?
The Earl Raymond Staddon has been issued the NPI (National Provider Identifier) 1346226677. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Earl Raymond Staddon's physical address?
The Earl Raymond Staddon is physically located at 119 S Main St, in the city of Union, OH, with the postal code 453223300.
What is the Earl Raymond Staddon's area of specialization and corresponding taxonomy classification?
The Earl Raymond Staddon's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Qg0300X, which categorizes healthcare providers based on their specialties.
When was the Earl Raymond Staddon's 1346226677 issued?
The Earl Raymond Staddon's 1346226677 was issued on 2005-12-19.
As of what date was the information pertaining to Earl Raymond Staddon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Earl Raymond Staddon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-12.
NPI Number: 1699778829
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