DR. CALVIN RANDOLPH STAFFORD JR. (NPI# 1023014628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023014628 |
| Entity Type | Individual |
| Full Name | DR. CALVIN RANDOLPH STAFFORD JR. |
| Credential | MD |
| Practice Address |
One Medical Center Blvd Suite 533 Upland PA 19013-3902 |
| Practice Telephone | 6106197475 |
| Practice Fax Number | 6106197477 |
| Mailing Telephone | 6108741184 |
| Mailing Fax Number | 6108744258 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD013709E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0646325 | 05 |
| Street Address |
ONE MEDICAL CENTER BLVD SUITE 533 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495035 | Lindsay Alexandra West | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Acp Suite 332, Upland, PA 19013 | 2020-04-15 |
| 1780171876 | Alice Shen | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Department of Medicine, Third Floor, East Wing, Upland, PA 19013 | 2018-04-16 |
| 1679002083 | Kirankumar Patel | Internal Medicine | One Medical Center Blvd, Department of Medicine 3 East, Upland, PA 19013 | 2017-06-08 |
| 1194130328 | Baotram Ngoc Luu | Physician Assistant | One Medical Center Blvd, Suite 404, Upland, PA 19013 | 2014-06-26 |
| 1821424102 | Andrew Joseph Mehalick | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2013-09-18 |
| 1790048437 | Michael Andrew Lashner | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2012-06-18 |
| 1437411352 | Crozer Chester Medical Center | General Acute Care Hospital | One Medical Center Blvd, Acp 332, Upland, PA 19013 | 2012-06-15 |
| 1306112644 | Dexter Doromal Jacob | Internal Medicine | One Medical Center Blvd, Bldg 1 Ste 400, Upland, PA 19013-3902 | 2012-03-30 |
| 1831408871 | Aashay Navin Patel | Internal Medicine | One Medical Center Blvd, Suite 404, Upland, PA 19013-3902 | 2010-09-24 |
| 1144549536 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | One Medical Center Blvd, Ccmc Prof Office Bldg II Ste 320, Upland, PA 19013 | 2010-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586430 | Faisal M Qazi | Psychiatry & Neurology | 901 San Bernadino Rd Ste 102, Upland, CA 91786 | 2006-05-18 |
| 1386607950 | Chaparral Medical Group Inc | Psychiatry & Neurology | 630 North 13th Ave, Suite B, Upland, CA 91786-4956 | 2006-04-06 |
| 1326202748 | Bhupat H Desai Md Inc | Psychiatry & Neurology | 630 N 13th Ave, Suite B, Upland, CA 91786-4975 | 2008-07-15 |
| 1962677823 | Kesha Abena Wilford | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2008-04-22 |
| 1851505432 | P. Perry Wich, M.d., Inc. | Psychiatry & Neurology | 630 N 13th Ave, Suite F, Upland, CA 91786-4975 | 2007-05-10 |
| 1992917108 | Jeffrey D Ries D O A Professional Corporation | Psychiatry & Neurology | 1310 San Bernardino Rd, Ste 101, Upland, CA 91786-4985 | 2007-05-03 |
| 1326185190 | Regina Torsney-durkin | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2007-01-31 |
| 1649362633 | Bhupat H Desai | Psychiatry & Neurology | 630 N 13th Ave, Suite B, Upland, CA 91786-4975 | 2006-09-28 |
| 1043317217 | Peiruch Perry Wich | Psychiatry & Neurology | 630 N 13th Ave, Suite F, Upland, CA 91786-4975 | 2006-09-20 |
| 1154344661 | Craig A Bogen | Psychiatry & Neurology | One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013-3902 | 2006-07-25 |
| Find all providers in UPLAND | ||||
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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.