STAFFORD PEDIATRICS P.C. NPI 1447382940

NPI Information

NPI: 1447382940
Provider Name: STAFFORD PEDIATRICS, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
385 GARRISONVILLE RD
SUITE 209
STAFFORD, VA
ZIP 22554
Phone: (540) 659-0111
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STAFFORD PEDIATRICS, P.C. is a primary care clinic center in Stafford, VA. STAFFORD PEDIATRICS, P.C. NPI is 1447382940. The provider is registered as an organization entity type.

The provider's business location address is:

385 GARRISONVILLE RD
SUITE 209
STAFFORD, VA
ZIP 22554-545
Phone: (540) 659-0111
Fax: (540) 720-5867

The provider's authorized official is William Michael Carr .
The authorized official title is Pediatrician, Sole Practitioner, Pr and has the following contact phone number (540) 659-0111.

The enumeration date for this NPI number is 3/10/2007 and was last updated on 11/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	0101036605	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6780073	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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