Active NPI
James Stafford
- Transportation Broker
- West Logan, WV
National Provider Identifier
1013488212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 75 2ND Ave
West Logan, WV 25601-3150 - Phone
- (304) 984-0780
- Fax
- (304) 984-0770
- NPI assigned
- Dec 16, 2018
- Last updated
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | WV | Primary |
Addresses
Primary practice location
75 2ND Ave
West Logan, WV 25601-3150
Mailing address
75 2ND Ave
West Logan, WV 25601-3150
Phone (304) 984-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1013488212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 2ND AVE",
"city": "WEST LOGAN",
"state": "WV",
"postal_code": "256013150",
"telephone_number": "304-984-0780",
"fax_number": "304-984-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 2ND AVE",
"city": "WEST LOGAN",
"state": "WV",
"postal_code": "256013150",
"telephone_number": "304-984-0780",
"fax_number": "304-984-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.