P Praxis·MD
● Active Type 1 · Individual

Douglas L Stagg, M.D.

Preventive Medicine·Twin Falls, ID· NPI 1619904638 · Enumerated 2006 · 19 years on NPI
Stagg is 1 of 2 preventive medicine providers in Twin Falls and 1 of 15 in Idaho.
NPI age
19 years
Enumerated 2006-06-26
Primary specialty
Preventive Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15 active preventive medicine providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
775 Pole Line Rd W, Suite 101
Twin Falls, ID 833015814
📞 2088148100fax 2088148900
Mailing address
Po Box 587, Suite 100
Twin Falls, ID 833030587
📞 2088147400fax 2088147491

Specialties

  • Preventive Medicine Primary
    Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures....
    ID license #M3528 taxonomy 2083X0100X

Identifiers

TypeValueNotes
05 (ID) 003949000

Practice context

Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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