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MATHEW LLOYD STAYMAN MD NPI 1548217268


NPI Information

NPI: 1548217268
Provider Name: MATHEW LLOYD STAYMAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
929 CENTRAL AVE NW
EAST GRAND FORKS, MN
ZIP 56721
Phone: (218) 773-6800
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Mathew Lloyd Stayman, MD is a family medicine in East Grand Forks, MN with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mathew Lloyd Stayman, MD NPI is 1548217268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

929 CENTRAL AVE NW
EAST GRAND FORKS, MN
ZIP 56721-917
Phone: (218) 773-6800

The NPI 1548217268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine8225NORTH DAKOTANo
2207Q00000XFamily Medicine44098MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126485OTHERNORTH DAKOTABCBS
210952MEDICAIDNORTH DAKOTA
3500M3STOTHERMINNESOTABCBS
4HP34258OTHERHEALTHPARTNERS
50123580OTHERMEDICA
6991483800MEDICAIDMINNESOTA
7NA4571028643OTHERPREFERRED ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.