Provider Demographics
NPI:1194756262
Name:STAGG, BARBARA ANNE (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:STAGG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:BAKERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28705-0027
Mailing Address - Country:US
Mailing Address - Phone:828-688-2104
Mailing Address - Fax:828-688-1334
Practice Address - Street 1:86 N MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BAKERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28705-6502
Practice Address - Country:US
Practice Address - Phone:828-688-2104
Practice Address - Fax:828-688-1334
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8907673OtherMEDCAID PHYSICIAN
NC00513OtherBCBS
NC014MXOtherBCBS LABS
NC49122OtherBCBS INDIVIDUAL PROVIDER
NC0081POtherBCBS SWINGBED
NC235013OtherMEDICARE PHYSICIAN
NC235013BOtherMEDICARE PHYSICIAN
NC3400011OtherMEDICAID
NC34U011OtherMEDICARE SWINGBED
NC411013849OtherMEDICARE RAILROAD
NC8949122Medicaid
NC07673OtherBCBS PHYSICIAN
NC235013OtherMEDICARE PHYSICIAN
207869Medicare ID - Type Unspecified
NC207869BMedicare PIN
NC34U011OtherMEDICARE SWINGBED