Basic Information
| Provider Information | |||||||||
| NPI: | 1194756262 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAGG | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 27 | ||||||||
| Address2: | |||||||||
| City: | BAKERSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287050027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286882104 | ||||||||
| FaxNumber: | 8286881334 | ||||||||
| Practice Location | |||||||||
| Address1: | 86 N MITCHELL AVE | ||||||||
| Address2: | |||||||||
| City: | BAKERSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287056502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286882104 | ||||||||
| FaxNumber: | 8286881334 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 05/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 27877 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8907673 | 01 | NC | MEDCAID PHYSICIAN | OTHER | 00513 | 01 | NC | BCBS | OTHER | 014MX | 01 | NC | BCBS LABS | OTHER | 49122 | 01 | NC | BCBS INDIVIDUAL PROVIDER | OTHER | 0081P | 01 | NC | BCBS SWINGBED | OTHER | 235013 | 01 | NC | MEDICARE PHYSICIAN | OTHER | 235013B | 01 | NC | MEDICARE PHYSICIAN | OTHER | 3400011 | 01 | NC | MEDICAID | OTHER | 34U011 | 01 | NC | MEDICARE SWINGBED | OTHER | 411013849 | 01 | NC | MEDICARE RAILROAD | OTHER | 8949122 | 05 | NC | MEDICAID | 07673 | 01 | NC | BCBS PHYSICIAN | OTHER |