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Deactivated NPI 1285620401 Deactivated / Inactive NPI Male Practitioner

Dr. Gary S Staples , MD

Specialist • Clinton, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Staples has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2005
NPI Deactivation Date September 24, 2009
Total Practice Duration ~4 Years of Practice (2005 – 2009)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Staples, MD was a registered Specialist practicing in Clinton, MD. Throughout an active medical career spanning 4 years, Dr. Staples provided care at the practice location at 7501 SURRATTS RD until profile deactivation on 2009-09-24.

Practice Location & Contact Primary Location

Practice Address

7501 Surratts Rd

Clinton, MD 207353362

Telephone 3018707001
Fax 3018706697
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clinton, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 36.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Clinton, MD (1034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D0018817

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Obafemi Opesanmi , MD

Emergency Medicine

NPI 1043206402

Doctor of Medicine (M.D.)

John Campbell , CRNA

Anesthesiologist Assistant

NPI 1063497410

Certified Registered Nurse Anesthetist

Dr. Carlos Chiriboga , MD

Internal Medicine - Critical Care Medicine

NPI 1154311231

Doctor of Medicine (M.D.)

Dr. David Remy , MD

Internal Medicine - Critical Care Medicine

NPI 1154386084

Doctor of Medicine (M.D.)

Dr. Robert Heckstall , MD

Emergency Medicine

NPI 1174519417

Doctor of Medicine (M.D.)

Matthew Hurley , PA

Physician Assistant - Medical

NPI 1174519482

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Reactivated March 22, 2013

Record officially reactivated for active practice on March 22, 2013

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Updated Practice Location March 22, 2013

Registered at 7501 SURRATTS RD, CLINTON, MD 207353362 (Tel: 3018707001)

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Updated Business Mailing Address March 22, 2013

Registered at 7503 SURRATTS RD, CLINTON, MD 207353358 (Tel: 3018707001)

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Provider Name / Credentials Updated March 22, 2013

Recorded as GARY STAPLES, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2013

Specialist (License #D0018817 in MD)

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NPI Profile Deactivated September 24, 2009

Record deactivated on September 24, 2009

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Initial NPI Registration & Enumeration September 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285620401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2005
Last Update: March 22, 2013
Deactivation Date: September 24, 2009
Sole Proprietor: Yes

Mailing Address

7503 Surratts Rd

Clinton, MD 207353358

Phone: 3018707001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.