Mickey Dwight Stapp in Augusta - Foot & Ankle Surgery
Mickey Dwight Stapp - NPI 1023114238
Mickey Dwight Stapp is a Foot & Ankle Surgery in Augusta, Georgia. Mickey Dwight Stapp practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Mickey Dwight Stapp is 1023114238. The last update date is 2019-07-03.
Mickey Dwight Stapp's current location address is 1416 Wainbrook Dr, Augusta, Georgia. You can contact this provider via phone number 7063123668 and fax number 7063123670. The mailing address for Mickey Dwight Stapp is 1416 Wainbrook Dr, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mickey Dwight Stapp |
|---|---|
| Address | 1416 Wainbrook Dr, Augusta, Georgia |
| Phone Number | 7063123668 |
| Fax Number | 7063123670 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1023114238 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2019-07-03 |
Provider Mailing Address Detail
| Address | 1416 Wainbrook Dr |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309096289 |
| Phone Number | 7063123668 |
| Fax Number | 7063123670 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | POD000728 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000660635J | GA | -- | |
| 575733 | GA | AETNA HMO | |
| 2700036 | GA | UNITED HEALTHCARE | |
| 480032189 | GA | RAILROAD MEDICARE | |
| 5106049 | GA | AETNA PPO | |
| 555655 | GA | BCBS OF GEORGIA | |
| 000660635H | GA | -- | |
| GDP728 | SC | SOUTH CAROLINA MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Mickey Dwight Stapp by the Centers for Medicare & Medicaid Services (CMS)?
The Mickey Dwight Stapp has been assigned the NPI (National Provider Identifier) 1023114238. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mickey Dwight Stapp is geographically located?
The Mickey Dwight Stapp is physically situated at the following location: 1416 Wainbrook Dr, Augusta, GA, 309096289.
What is Mickey Dwight Stapp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mickey Dwight Stapp is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023114238 to Mickey Dwight Stapp?
The Mickey Dwight Stapp received its 1023114238 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date were the details pertaining to Mickey Dwight Stapp last refreshed?
The information related to the Mickey Dwight Stapp, including its address, specialty, and other relevant details, was last updated on 2019-07-03.