NPIMap

Individual provider Active NPI

John Lodney Stafford, M.D.

  • Obstetrics & Gynecology Physician
  • Washington, IN
National Provider Identifier
1225051576
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01082650A Issued in IN
Practice address
1401 Memorial Ave Ste B
Washington, IN 47501-3154
Phone
(812) 254-2400
Fax
(812) 254-3191
NPI assigned
Jul 26, 2006
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28180 AL
Obstetrics & Gynecology Physician 207V00000X 01082650A IN Primary

Addresses

Primary practice location

1401 Memorial Ave Ste B
Washington, IN 47501-3154

Mailing address

1401 Memorial Ave Ste B
Washington, IN 47501-3154
Phone (812) 254-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920002002 IN Practitioner - Obstetrics/Gynecology 2567423106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John L Stafford MD LLCGroup PAC ID 8325378128, 2 clinicians

Practice addresses (Care Compare)

1401 Memorial Ave
Suite B
Washington, IN 47501-3154
Phone (812) 254-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28180ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John L Stafford MD LLC Obstetrics & Gynecology CurrentSince Jul 25, 2019 Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lanaster General Hospital Past Accepting new patients
Lincoln OB GYN Associates PA Obstetrics & Gynecology Past Accepting new patients
Together Women's Health Medical Group of Alabama PC Obstetrics & Gynecology PastSince Sep 26, 2024 Accepting new patients
Westra Wellness Center Obstetrics & Gynecology Past Accepting new patients

Locations

1401 Memorial Ave
Ste B
Washington, IN 47501
Phone (812) 254-2400

Interoperability endpoints

  • Direct secure messaging: john.stafford.1@14075.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1225051576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE STE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013154",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE STE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013154",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "JOHN",
        "middle_name": "LODNEY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "28180",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01082650A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.