STAFFORD HOSPITAL, LLC (NPI# 1952548869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952548869 |
| Entity Type | Organization |
| Organization Name | STAFFORD HOSPITAL, LLC |
| Other Organization Name | STAFFORD HOSPITAL CENTER |
| Practice Address |
101 Hospital Center Blvd Stafford VA 22554-6200 |
| Mailing Address |
2300 Fall Hill Ave Suite 308 Fredericksburg VA 22401-3342 |
| Practice Telephone | 5407411821 |
| Mailing Telephone | 5407411821 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | WALTER J KIWALL (PRESIDENT) |
| Authorized Official Telephone | 5407411821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Stafford Hospital Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043343304 | Stafford Hospital, LLC | General Acute Care Hospital | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-03-14 |
| 1750714440 | Stafford Hospital, LLC | Nutritionist | 101 Hospital Center Blvd, Stafford, VA 22554 | 2013-08-16 |
| Street Address |
101 HOSPITAL CENTER BLVD |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-6200 |
| 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 |
| 1750714440 | Stafford Hospital, LLC | Nutritionist | 101 Hospital Center Blvd, Stafford, VA 22554 | 2013-08-16 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
| 1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
| 1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
| 1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
| 1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
| 1083133144 | Community Cardiology | Internal Medicine | 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 | 2017-09-11 |
| 1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
| 1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
| 1003366618 | Bluefield Vascular Center | Internal Medicine | 970 Leatherwood Ln, Bluefield, VA 24605-2047 | 2016-10-06 |
| 1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
| 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.