MR. MICHAEL CLAYTON STAFFORD (NPI# 1073810214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073810214 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CLAYTON STAFFORD |
| Credential | RD, LD |
| Practice Address |
86 Jonathan Lucas St Charleston SC 29425-8900 |
| Practice Telephone | 8437923101 |
| Practice Fax Number | 8437924080 |
| Mailing Telephone | 8437923101 |
| Mailing Fax Number | 8437924080 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 570 | SC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757991 | Michael Trace Stafford | Surgery | 1123 Belleville Ave, Brewton, AL 36426-1505 | 2014-07-03 |
| 1487838041 | Michael Treavelyn Stafford | Chiropractor | 6628 La Jolla Blvd, La Jolla, CA 92037-6018 | 2007-12-19 |
| 1730788373 | Michael Stafford | Specialist/Technologist, Other | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-10-24 |
| 1952869703 | Michael Thomas Stafford II | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-03-11 |
| 1831662238 | Michael Stafford | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2019-01-08 |
| 1992243661 | Michael Stafford | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2017-02-02 |
| 1184864027 | Michael Douglas Stafford | Dentist | 3700 Fairbanks Ave, Yakima, WA 98902-6325 | 2009-03-05 |
| 1285784298 | Michael Todd Stafford | Emergency Medicine | 3560 Delaware St, Suite 601-a, Beaumont, TX 77706-3067 | 2007-01-11 |
| 1396757951 | Michael Royce Stafford | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-08-12 |
| Street Address |
86 JONATHAN LUCAS ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851565576 | Kelly Marie Hylton | Nurse Practitioner | 86 Jonathan Lucas St, Hollings Cancer Center, Charleston, SC 29425-7710 | 2008-04-14 |
| 1497376495 | Jennifer Macdonald | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-04-30 |
| 1609496538 | Anastasia Finn Graham | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-04-21 |
| 1245850155 | James A Davis | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-04-21 |
| 1467093476 | Amanda Katlin Herbst | Physician Assistant | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-10-01 |
| 1083077168 | Cathy C Letton | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2016-04-05 |
| 1144547563 | Lisa Cordes | Pharmacist | 86 Jonathan Lucas St, Room 114, Charleston, SC 29425-8900 | 2010-04-25 |
| 1073748927 | Complementary Cancer Care Inc. | Clinic/Center | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906523 | Emily Rodriguez | Dietitian, Registered | 800 Pennsylvania Ave # A, Charleston, WV 25302-3351 | 2020-09-10 |
| 1508476516 | Anna Marie Berner | Dietitian, Registered | 3225 Hatchet Bay Dr Apt 6102, Charleston, SC 29414-5193 | 2020-08-04 |
| 1568081024 | Lowcountry Street Grocery | Dietitian, Registered | 1630 Meeting Street Rd, Charleston, SC 29405-9436 | 2020-04-14 |
| 1649810953 | Elise Marcela Rodriguez | Dietitian, Registered | 165 Ashley Ave Ste 603e, Charleston, SC 29425-8905 | 2020-01-14 |
| 1720560311 | Marie J Seeger | Dietitian, Registered | 1546 Gardenia Rd, Charleston, SC 29407-5212 | 2018-08-30 |
| 1437665536 | Heather Dawn Whittington | Dietitian, Registered | 600 Tracy Way Ste 2, Charleston, WV 25311-1262 | 2017-12-27 |
| 1750896890 | Kelly Mckenzie | Dietitian, Registered | 1 S Park Cir Ste 101, Charleston, SC 29407-4625 | 2017-12-12 |
| 1720501166 | Kayla Nicole Fitzgerald | Dietitian, Registered | 1 Carriage Ln Ste 101, Charleston, SC 29407-6060 | 2017-07-18 |
| 1720538309 | Emma Mary Falconer | Dietitian, Registered | 10 Bee St Apt C, Charleston, SC 29403-5854 | 2016-10-07 |
| 1306395652 | Mia Syn | Dietitian, Registered | 124 Wentworth St, Apartment 4a, Charleston, SC 29401-1762 | 2016-09-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on MR. MICHAEL CLAYTON STAFFORD.
| 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.