Warren Keith Stafford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23690 Issued in SC

Legal business name

WARREN KEITH STAFFORD, M.D.

Doing business as

Cornerstone Family Medicine

Practice address

206A S Main St
Greer, SC 29650-2127

Phone

(864) 989-0230

Fax

(864) 334-1880

NPI assigned

Dec 6, 2011

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Klinger

Title

Business Manager

Phone

(484) 553-3286

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Family Medicine Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Brooks Smith, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Anderson, SC
  • NPI 1558526384

  Family Medicine

  NPD (past)
• Warren Keith Stafford, MD

  • Family Medicine Physician
  • Greer, SC
  • NPI 1992780878
  NPD (past)
• Melissa Hope Suttell, APRN

  • Family Nurse Practitioner
  • Greer, SC
  • NPI 1104174747
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1285902106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 WERTMAN RD",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511820",
            "telephone_number": "484-553-3286",
            "fax_number": "484-214-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A S MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502127",
            "telephone_number": "864-989-0230",
            "fax_number": "864-334-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN KEITH STAFFORD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "KLINGER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "484-553-3286"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236907",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Sue Wall, APRN
• James E Wall, RPH
• Christina Marie Walsh, PT, DPT
• John Edmond Walton, MD
• Madison Jones Ward, PA-C
• Madelyne Warren, PHARMD
• Kayla Renee Waters, MS, CCC-SLP
• Wendy Warner Watkins, RD, LDN
• Crystal Kay Watson, RN
• Chelsea Elizabeth Watts, BS

• Family Medicine Physician in Greer, SC
• Providers in Greer, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.