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

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: July 19, 2026.

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
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

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.

Physician Assistant
4 COULTER RD
CLIFTON SPRINGS, NY 14432
Audiologist
4 COULTER RD
CLIFTON SPRINGS, NY 14432
Urology
4 COULTER RD
CLIFTON SPRINGS, NY 14432
Internal Medicine (Cardiovascular Disease)
4 COULTER RD
CLIFTON SPRINGS, NY 14432
Surgery (Vascular Surgery)
4 COULTER RD, #58
CLIFTON SPRINGS, NY 14432
Internal Medicine (Gastroenterology)
4 COULTER RD
CLIFTON SPRINGS, NY 14432
Internal Medicine (Gastroenterology)
4 COULTER RD
CLIFTON SPRINGS, NY 14432
Audiologist
4 COULTER RD
CLIFTON SPRINGS, NY 14432

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932174497, enumerated as an "individual" on February 20, 2006.

The provider is located at 4 COULTER RD CLIFTON SPRINGS, NY 14432 and the phone number is (315) 462-2636.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.