DR. CHARLES L STACKHOUSE MD
NPI 1932174497
Surgery in Clifton Springs, NY

Q: What is Charles Stackhouse's NPI number?

The NPI number for Charles Stackhouse is 1932174497. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Q: What is Charles Stackhouse's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since February 20, 2006

4 COULTER RD, CLIFTON SPRINGS, NY 14432(315) 462-2636(315) 462-2638 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Charles L Stackhouse Md NPPES

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

DR. CHARLES L STACKHOUSE MD (NPI 1932174497) is an individual surgery provider in Clifton Springs, New York, licensed in New York (1430991) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1932174497

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. CHARLES L STACKHOUSECredential: MD

Location Address4 COULTER RDClifton Springs, NY 14432-1122

Mailing Address4567 Crossroads Park DrLiverpool, NY 13088-3589 · (315) 295-2100 · Fax (315) 295-2125

Phone(315) 462-2636

Fax(315) 462-2638

Sole ProprietorYes

Enumeration DateFebruary 20, 2006

Last NPPES UpdateJune 13, 2013

✔ NPI 1932174497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NY · 1430991✔ Licensed in NY · 143099

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4 COULTER RD, Clifton Springs, NY 14432

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Other Identifiers 3

Medicare UPINB75878

Medicare PINCC8106

Medicaid00835396NY

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.

SARAH ELIZABETH PHILLIPS PHARMD

Pharmacist