Bill Stafford, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R3F13 Issued in MO

Legal business name

BILL STAFFORD, M.D.

Practice address

312 N Kentucky Ave
West Plains, MO 65775-2073

Phone

(417) 257-7076

Fax

(417) 257-1417

NPI assigned

Apr 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bill W Stafford Jr., M.D.

Title

Owner

Phone

(417) 257-7076

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stafford Pediatrics Doing business as

Tax ID family

Bill Stafford MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bill Stafford, M.D.

  • Rural Health Clinic/Center
  • West Plains, MO
  • NPI 1396836649
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1124550686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752073",
            "telephone_number": "417-257-7076",
            "fax_number": "417-257-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752073",
            "telephone_number": "417-257-7076",
            "fax_number": "417-257-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL STAFFORD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-257-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R3F13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598351302",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508351301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Henry Benton, M.D.
• Lorrie Bettis
• Rebecca Kay Beville, MA, QMHP
• BHG Lxxiv, LLC
• BHG Xxviii, LLC
• Bill Stafford, M.D.
• Bio-Medical Applications of Missouri, Inc.
• Bio-Medical Applications of Missouri, Inc.
• Joshua David Bird
• Royce D Bishop, PLPC

• Pediatrics Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.