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MR. RANDOLPH LEE STAGG
NPI 1861573479
Durable Medical Equipment & Medical Supplies in Chanhassen, MN

Active since October 18, 2006
80 W 78TH ST, SUITE 265, CHANHASSEN, MN 55317(952) 934-6000(952) 934-6760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randolph Lee Stagg NPPES

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

MR. RANDOLPH LEE STAGG (NPI 1861573479) is an individual durable medical equipment & medical supplies provider in Chanhassen, Minnesota, licensed in Minnesota (E595041887419) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861573479
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameMR. RANDOLPH LEE STAGG
Location Address80 W 78TH ST, SUITE 265Chanhassen, MN 55317-8715
Mailing Address80 W 78th St, Suite 265Chanhassen, MN 55317-8715 · (952) 934-6000 · Fax (952) 934-6760
Phone(952) 934-6000
Fax(952) 934-6760
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861573479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in MN · E595041887419
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
80 W 78TH ST, Chanhassen, MN 55317
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Other Providers at the Same Location NPPES 2

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

DR. YAEL M RUBIN LPCC
Counselor (Professional)
80 W 78TH ST, #280A
CHANHASSEN, MN 55317
Carver County (612) 203-5257
MR. PAUL BRADLEY OUSMAN L.P.
Psychologist (Counseling)
80 W 78TH ST, SUITE 285A
CHANHASSEN, MN 55317
Carver County (952) 412-6304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Stagg's NPI number?

The NPI number for Randolph Stagg is 1861573479. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Randolph Stagg located?

Randolph Stagg practices at 80 W 78th St Suite 265, Chanhassen, MN 55317. The listed phone number is (952) 934-6000.

What is Randolph Stagg's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Randolph Stagg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.