JONATHAN SIMON STAUB M.D.
NPI 1831290279
Internal Medicine in Wilmington, NC

Q: What is Jonathan Staub's NPI number?

The NPI number for Jonathan Staub is 1831290279. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Jonathan Staub's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Staub was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2006

1202 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 341-3300(910) 251-8896 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Simon Staub M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN SIMON STAUB M.D. (NPI 1831290279) is an individual internal medicine provider in Wilmington, North Carolina, licensed in North Carolina (9400646) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1831290279

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJONATHAN SIMON STAUBCredential: M.D.

Location Address1202 MEDICAL CENTER DRWilmington, NC 28401-7307

Mailing Address1202 Medical Center DrWilmington, NC 28401-7307 · (910) 341-3300 · Fax (910) 251-8896

Phone(910) 341-3300

Fax(910) 251-8896

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateAugust 13, 2014

✔ NPI 1831290279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 9400646

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1202 MEDICAL CENTER DR, Wilmington, NC 28401

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Other Identifiers 6

Medicare UPINC33340NC

Other79424NC · Bcbs Nc

Other110123217NC · Railroad Medicare

Medicaid8979424NC

Medicare PIN2198745BNC

Medicare PIN2198745ANC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY ROBERTS M.D.

Internal Medicine (Cardiovascular Disease)