BRYAN S STAFFORD (NPI# 1154412435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154412435 |
| Entity Type | Individual |
| Full Name | BRYAN S STAFFORD |
| Credential | PA C |
| Practice Address |
Main St Family Healthcare Assoc Inc Pineville WV 24874 |
| Mailing Address |
Po Box 1650 Family Healthcare Assoc Inc Pineville WV 24874 |
| Practice Telephone | 3047326735 |
| Practice Fax Number | 3047329218 |
| Mailing Telephone | 3047326735 |
| Mailing Fax Number | 3047329218 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 197 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810000500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194025510 | Bryan Michael Stafford Sr. | Nurse Practitioner | 8246 River Country Dr, Weeki Wachee, FL 34607-2101 | 2010-11-02 |
| Street Address |
MAIN ST FAMILY HEALTHCARE ASSOC INC |
| City | PINEVILLE |
| State | WV |
| Zip Code | 24874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295826576 | John D West | Family Medicine | Main St, Family Healthcare Assoc Inc, Pineville, WV 24874 | 2006-09-28 |
| 1316038607 | Roger T Johnson | Family Medicine | Main St, Family Healthcare Assoc Inc, Pineville, WV 24874 | 2006-09-28 |
| 1730270026 | Jonathan L Karper | Family Medicine | Main St, Family Healthcare Assoc Inc, Pineville, WV 24874 | 2006-09-28 |
| 1760573067 | Kelli M Karper | Family Medicine | Main St, Family Healthcare Assoc Inc, Pineville, WV 24874 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999775 | Frankie Lynn Adkins | Technician | 91 Blackberry St, Pineville, WV 24874 | 2020-10-13 |
| 1104430313 | Leeann Mae Morgan | Technician | 457 Bowman Bottom Rd, Pineville, WV 24874 | 2020-09-04 |
| 1093329757 | Destiny Lafferty | Technician | 457 Bowman Bottom Rd., Pineville, WV 24874 | 2020-09-01 |
| 1942813027 | Jenny Marie Hatfield | Technician | 308 River View Ave, Pineville, WV 24874 | 2020-08-28 |
| 1124591920 | Ashley Nicole Lusk | Counselor | 438 River Drive, Pineville, WV 24874 | 2019-01-04 |
| 1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
| 1265719256 | Stat Ems, LLC. | Non-emergency Medical Transport (VAN) | 84-b Main Ave, Pineville, WV 24874 | 2011-11-04 |
| 1225337652 | Omotayo Julieanne Aborisade | Pharmacist | Route 10, Main Strret, Pineville, WV 24874 | 2011-03-24 |
| 1609175520 | Irene B Menego | Pharmacist | 418 Applician Highway, Pineville, WV 24874 | 2011-03-17 |
| 1396989604 | Angela Kaye Cook | Psychologist | 483 Appalachian Highway, Suite 2, Pineville, WV 24874 | 2009-04-30 |
| Find all providers in zip 24874 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487046835 | Louisiana Quick Care LLC | Family Medicine | 12805 Highway 28 E Ste B, Pineville, LA 71360-0734 | 2015-02-23 |
| 1013204734 | Joanna Marie Adkins Bailey | Family Medicine | 585 Appalachian Highway, Pineville, WV 24874-0430 | 2011-07-01 |
| 1720264427 | Hugh D Washburn | Family Medicine | 7521 Highway 28 E, Pineville, LA 71360-9733 | 2008-01-14 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1053488288 | Jonathan S Forester | Family Medicine | 2809 Donahue Ferry Rd, Pineville, LA 71360 | 2006-11-30 |
| 1376645820 | Uzvaltha Ganji | Family Medicine | 2495 Shreveport Hwy # Hwy.71north, Medical Cervise 111, Pineville, LA 71360-4044 | 2006-09-04 |
| 1366550279 | Dominador Yti Lao | Family Medicine | Rt 10 Appalachain Hwy. East Pineville, Pineville, WV 24874-1274 | 2006-08-29 |
| 1225067317 | Family Healthcare Associates Inc | Family Medicine | 113 Main Ave, Pineville, WV 24874-1650 | 2006-07-01 |
| 1295763928 | William Jackson Defee IIi | Family Medicine | 5507 Shreveport Hwy, Pineville, LA 71360-3533 | 2006-06-29 |
| 1609813807 | Shawn Shadell Fugate | Family Medicine | 313 S Cherry St, Pineville, KY 40977-1724 | 2006-05-31 |
| Find all providers in PINEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.