Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles L Stackhouse, MD

Individual provider Surgery Physician · NPI 1932174497

Dr. Charles L Stackhouse, MD is a Surgery Physician in Clifton Springs, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Coulter Rd
Clifton Springs, NY 14432-1122
Phone: (315) 462-2636
Fax: (315) 462-2638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1430991 (NY)
Surgery Physician Taxonomy 208600000X · Licence 143099 (NY)

Record details

NPI number1932174497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 20, 2006
Last updated in NPPESJune 13, 2013

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