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

Norman Russell Stackhouse, PA

Individual provider Medical Physician Assistant · NPI 1053412569

Norman Russell Stackhouse, PA is a Medical Physician Assistant in Clinton, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

9131 Piscataway Rd Ste 600
Clinton, MD 20735-2508
Phone: (301) 868-0110
Fax: (301) 856-0604
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0000861 (MD)

Record details

NPI number1053412569
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 9, 2007

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