JOHN SULLIVAN STAFFORD (NPI# 1346469616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346469616 |
Entity Type | Individual |
Full Name | JOHN SULLIVAN STAFFORD |
Credential | M.D. |
Practice Address |
4226 Warpath Ave Santa Fe TX 77510-8615 |
Practice Telephone | 4099254949 |
Practice Fax Number | 4099254088 |
Mailing Telephone | 4099254949 |
Mailing Fax Number | 4099254088 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 208D00000X | General Practice | G5640 | TX | Allopathic & Osteopathic Physicians |
X | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00750 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881741767 | John Michael Stafford | Internal Medicine | 7435 Mrb Iv, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2007-01-04 |
1730182247 | John M. Stafford | Family Medicine | 3800 Hollywood Rd Ste 101, Royalton Medical Center, Saint Joseph, MI 49085-8511 | 2005-05-30 |
1942852785 | John Martin Stafford | Anesthesiologist Assistant | 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 | 2019-07-11 |
1932562402 | John Alan Stafford | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2016-04-01 |
1043694714 | John Stafford | Social Worker | 504 5th St, Ferrysburg, MI 49409-5119 | 2015-07-13 |
1801078365 | John A Stafford | Chiropractor | 1750 E 87th St, Chicago, IL 60617 | 2007-11-27 |
1760512586 | John D Stafford | Nurse Practitioner | 449 Main St, Oneonta, NY 13820-2028 | 2007-03-07 |
1992871040 | John E Stafford | Dentist | 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106 | 2006-11-28 |
1831292358 | John Wiley Stafford | General Practice | 207 Westmark Blvd, Lafayette, LA 70506-7365 | 2006-09-07 |
1730281403 | John E Stafford | Psychologist | 350 Salem Road, Ste 1, Conway, AR 72034 | 2006-09-02 |
Street Address |
4226 WARPATH AVE |
City | SANTA FE |
State | TX |
Zip Code | 77510-8615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629587035 | Tonya Bowman | Counselor | 39 Prarie Oaks Drive, Santa Fe, TX 77510 | 2017-09-28 |
1144622259 | 518 Pharmaceutical Services LLC | Pharmacy | 4111 Fm 1764 Rd, Ste F, Santa Fe, TX 77510 | 2014-09-19 |
1619988201 | Ralleen Fay Glasin-barfoot | Chiropractor | 12122 Hwy 6, Santa Fe, TX 77510-0987 | 2006-08-10 |
1316989668 | Santa Fe Chiropractic Center, Inc | Chiropractor | 12122 Highway 6, Santa Fe, TX 77510-2021 | 2006-06-12 |
1023233608 | Barbara S Brown | Chiropractor | 12122 Highway 6, Santa Fe, TX 77510-2021 | 2007-04-17 |
1700812542 | Jerry Wayne Vitek | Chiropractor | 12122 Highway 6, Santa Fe, TX 77510-2021 | 2006-06-23 |
1942523154 | Eloise Catrett | Nurse Practitioner | 11839 15th St, Santa Fe, TX 77510-2155 | 2010-03-03 |
1255659991 | Angela Marie Ryan | Rehabilitation Counselor | 4106 Twin Dr E, Santa Fe, TX 77510-3104 | 2010-05-05 |
1477037919 | Karlee Alayne Mcbride | Registered Nurse | 12222 Vista Real, Santa Fe, TX 77510-4036 | 2018-09-20 |
1689966269 | Frank Joesph Klementich | Pharmacist | 4218 Castle Dr, Santa Fe, TX 77510-6603 | 2011-05-13 |
Find all providers in zip 77510 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275976284 | Clive Levine | General Practice | 508 Los Nidos Dr, Santa Fe, NM 87501-8356 | 2013-04-09 |
1851595326 | Cynthia Ann Knudson | General Practice | 1114 Hickox, Santa Fe, NM 87501 | 2007-06-11 |
1891900981 | Space Center Ipa Pa | General Practice | 12902 Cloud Dr, Santa Fe, TX 77510-9345 | 2007-05-11 |
1255471926 | Ann Mccampbell | General Practice | 11 Esquila Rd, Santa Fe, NM 87508-8739 | 2007-02-08 |
1396704565 | Jeffrey J Hawkins | General Practice | 73 Paseo Del Paisano, Santa Fe, NM 87506-7984 | 2006-03-17 |
1447238159 | Andrew Langsam | General Practice | 3450 Zafarano Dr, Suite C, Santa Fe, NM 87507-2669 | 2006-01-03 |
1144627332 | St. Vincent Hospital | General Practice | 5501 Herrera Dr, Santa Fe, NM 87507-2684 | 2014-12-03 |
1790045839 | Joan Baumbach | General Practice | 1190 S Saint Francis Dr, N1350, Santa Fe, NM 87505-4173 | 2012-05-23 |
1457583049 | Tieraona Low Dog | General Practice | 3600 Cerrillos Rd, Suite 712, Santa Fe, NM 87507-2612 | 2009-08-14 |
1215173000 | New Mexico Pain Management, LLC | General Practice | 460 Saint Michaels Dr, Building 200, Santa Fe, NM 87505-7619 | 2008-12-28 |
Find all providers in SANTA FE |
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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.