STAFFORD HOSPITAL, LLC (NPI# 1043343304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043343304 |
| Entity Type | Organization |
| Organization Name | STAFFORD HOSPITAL, LLC |
| Other Organization Name | STAFFORD HOSPITAL |
| Practice Address |
101 Hospital Center Blvd Stafford VA 22554-6200 |
| Mailing Address |
2300 Fall Hill Ave Suite 509 Fredericksburg VA 22401-3342 |
| Practice Telephone | 5407411821 |
| Mailing Telephone | 5407411821 |
| Mailing Fax Number | 5407411097 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | DR. MICHAEL P. MCDERMOTT (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5407411414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC | 364695 | 01 |
| VA | CIGNA | 0564123-038 | 01 |
| VA | TRICARE | 540519577002 | 01 |
| VA | CAREFIRST BC | HG2 | 01 |
| VA | DEPARTMENT OF LABOR | 614500700 | 01 |
| VA | AETNA | 9447838 | 01 |
| VA | UNITED HEALTHCARE HMO, ONENET, MDPIA, OPTIMUM CHOICE | 234771 | 01 |
| Other Name | Type Code |
|---|---|
| Stafford Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750714440 | Stafford Hospital, LLC | Nutritionist | 101 Hospital Center Blvd, Stafford, VA 22554 | 2013-08-16 |
| 1952548869 | Stafford Hospital, LLC | Internal Medicine | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-14 |
| Street Address |
101 HOSPITAL CENTER BLVD |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598303000 | Maryam Mahmoudzadeh | Pharmacist | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2019-12-16 |
| 1053953919 | Kelly Nicole Stephens | Nurse Practitioner | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2019-10-11 |
| 1447722871 | Tammy Maniscalco | Nurse Practitioner | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2018-12-25 |
| 1750714440 | Stafford Hospital, LLC | Nutritionist | 101 Hospital Center Blvd, Stafford, VA 22554 | 2013-08-16 |
| 1952548869 | Stafford Hospital, LLC | Internal Medicine | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-14 |
| 1336386366 | Radiologic Associates of Fredericksburg | Clinic/Center | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-13 |
| 1215128970 | Michael David Johnson | Physician Assistant | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-08-07 |
| 1306049705 | Gina Louise Gallizzi | Pediatrics | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
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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.