Michael Patrick Staebler in Providence - Sports Medicine

Michael Patrick Staebler - NPI 1912064296

Michael Patrick Staebler is a Sports Medicine in Providence, Rhode Island. Michael Patrick Staebler practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael Patrick Staebler is 1912064296. The last update date is 2015-06-08.

Michael Patrick Staebler's current location address is Po Box 1119, Providence, Rhode Island. You can contact this provider via phone number 4018420555 and fax number 4018475450. The mailing address for Michael Patrick Staebler is Po Box 1119, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Patrick Staebler
Address Po Box 1119, Providence, Rhode Island
Phone Number 4018420555
Fax Number 4018475450
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1912064296
Provider Enumeration Date 2007-01-03
Last Updated Date 2015-06-08

Provider Mailing Address Detail

Address Po Box 1119
City Providence
State Rhode Island (RI)
Post Code 29011119
Phone Number 4018420555
Fax Number 4018475450

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No MD09775
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7006584 RI --
201596530 RI TRICARE

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FAQs about Michael Patrick Staebler

What is the unique identifier code issued to Michael Patrick Staebler by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Patrick Staebler has been assigned the NPI (National Provider Identifier) 1912064296. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Michael Patrick Staebler is physically located?

The Michael Patrick Staebler is situated at the following address: Po Box 1119, Providence, RI 29011119.

What is the Michael Patrick Staebler's area of specialization and corresponding taxonomy classification?

The Michael Patrick Staebler's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.

On what date did Michael Patrick Staebler receive its 1912064296 assignment from the Centers for Medicare & Medicaid Services?

The Michael Patrick Staebler was assigned its 1912064296 on 2007-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Michael Patrick Staebler most recently updated or revised?

The details related to Michael Patrick Staebler, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-08.

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