STAFFORD HOSPITAL, LLC (NPI# 1750714440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750714440 |
| Entity Type | Organization |
| Organization Name | STAFFORD HOSPITAL, LLC |
| Practice Address |
101 Hospital Center Blvd Stafford VA 22554 |
| Mailing Address |
2300 Fall Hill Ave Suite 509 Fredericksburg VA 22401-3342 |
| Practice Telephone | 5407419000 |
| Mailing Telephone | 5407411821 |
| Mailing Fax Number | 5407411097 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | SEAN T BARDEN (CFO) |
| Authorized Official Telephone | 5407411494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043343304 | Stafford Hospital, LLC | General Acute Care Hospital | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-03-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043343304 | Stafford Hospital, LLC | General Acute Care Hospital | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-03-14 |
| 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 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.