MR. NATHAN STAFFORD (NPI# 1811127236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811127236 |
Entity Type | Individual |
Full Name | MR. NATHAN STAFFORD |
Practice Address |
243 Curtiss Rd Ste 100 Barksdale Afb LA 71110-2425 |
Practice Telephone | 3184566555 |
Enumeration Date | 2009-07-20 |
Last Update Date | 2011-05-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760094809 | Nathan David Stafford | Specialist/Technologist | 453 W 10th Ave, Columbus, OH 43210-2205 | 2020-08-19 |
1457824732 | Nathan Stafford | Physical Therapist | 390 Challenger Rd, Cape Canaveral, FL 32920-4200 | 2019-01-09 |
Street Address |
243 CURTISS RD STE 100 |
City | BARKSDALE AFB |
State | LA |
Zip Code | 71110-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417937947 | Kermit G Helo IIi | Pediatrics | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2006-01-19 |
1427657543 | Michelle Ann Weiss | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2020-10-20 |
1457911471 | Timothy Ethridge | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-20 |
1548820178 | Michael Sean Daugherty | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-17 |
1265998462 | Brittney Theresa Yun | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-02-13 |
1083118525 | Matthew Scot Van Uitert | General Practice | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-03-20 |
1477061414 | Cynthia Williams Lecara | Registered Nurse | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-01-11 |
1659886455 | Srikanth Choudary Lavu | General Practice | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 | 2017-12-04 |
1942710223 | Charlotte Emma Buckley | Pharmacist | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-10-02 |
1306360250 | Kelsey E Jackson | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
1174010268 | Jeffrey M Van Ness | Student in an Organized Health Care Education/Training Program | Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 | 2018-04-16 |
1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
Find all providers in zip 71110 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831172931 | Jeannie Shim Mcallister | Physician Assistant | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
Find all providers with the same taxonomy |
City | BARKSDALE AFB |
Zip Code | 71110 |
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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.