DR. ROBERT HOLDEN STAFFORD (NPI# 1396957445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396957445 |
| Entity Type | Individual |
| Full Name | DR. ROBERT HOLDEN STAFFORD |
| Credential | MD |
| Practice Address |
910 Cook Rd Orangeburg SC 29118-2124 |
| Practice Telephone | 8035342328 |
| Practice Fax Number | 8035319419 |
| Mailing Telephone | 8035342328 |
| Mailing Fax Number | 8035319419 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
5729 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326544495 | Robert Huntington Stafford | Physical Therapist | 1501 W Chisholm St, Alpena, MI 49707-1498 | 2018-04-05 |
| 1164630257 | Robert Eugene Stafford | Dentist | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2007-05-20 |
| 1972526580 | Robert Mckinley Stafford IIi | Counselor | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2006-07-25 |
| Street Address |
910 COOK RD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572448 | Tri-county County Commission On Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2005-10-17 |
| 1700410149 | Kendall Maree Gibson | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2020-02-25 |
| 1821648890 | Amanda Rector | Peer Specialist | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2019-09-12 |
| 1073165015 | Kimberly Hope Morgan | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2019-07-10 |
| 1033618335 | Glenda Anastasia Pitts | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2018-02-02 |
| 1457884363 | Dee Ward | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2017-04-07 |
| 1679014633 | Ashleigh Simons | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2017-03-10 |
| 1609222538 | Nicole Glover | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2016-05-10 |
| 1275919326 | Karon Hopkins | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2015-07-30 |
| 1851782056 | Yolanda Green Hanton | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2015-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093280620 | Capeside Addiction Care, Pllc | Psychiatry & Neurology | 4889 Highway 17 Byp S, Myrtle Beach, SC 29577-6683 | 2018-10-10 |
| 1205996303 | Susan Jayne Olson | Psychiatry & Neurology | 1297 Professional Dr, Ste 104, Myrtle Beach, SC 29577-5713 | 2006-12-11 |
| 1982037529 | Charleston Addiction Medicine, LLC | Psychiatry & Neurology | 2175 Ashley Phosphate Rd, Suite G, North Charleston, SC 29406-4181 | 2013-08-19 |
| 1104101054 | South Carolina Research Group LLC | Psychiatry & Neurology | 68 Parkway Commons Way, Greer, SC 29650-5213 | 2011-10-11 |
| 1558663294 | Michael J Huggins | Psychiatry & Neurology | 2175 Ashley Phosphate Rd, Suite G, North Charleston, SC 29406-4181 | 2010-12-01 |
| 1164746392 | Anmed Health | Psychiatry & Neurology | 800 N Fant St, Anderson, SC 29621-5708 | 2010-03-17 |
| 1922203223 | Joseph David Markowitz | Psychiatry & Neurology | 3555 Harden Street Ext Ste 141, Columbia, SC 29203 | 2007-06-18 |
| 1538229448 | Strand Psychiatric Associates Pa | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2006-12-11 |
| 1295824159 | Spartanburg Medical Center | Psychiatry & Neurology | 391 Serpentine Dr, Suite 400, Doctor's Center, Spartanburg, SC 29303-3096 | 2006-10-11 |
| 1750481727 | Faraz Qureshi | Psychiatry & Neurology | 109 Bee St, Charleston, SC 29401-5703 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.