Active NPI
William Stauffer
- Electrodiagnostic Medicine Physician
- Frankfort, KY
National Provider Identifier
1306264189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electrodiagnostic Medicine Physician
- License
- 15935
- Practice address
- 101 Medical Heights Dr Ste P
Frankfort, KY 40601-4137 - Phone
- (502) 235-5308
- Fax
- (502) 352-2779
- NPI assigned
- Mar 31, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | 15935 | KY | Primary |
Addresses
Primary practice location
101 Medical Heights Dr Ste P
Frankfort, KY 40601-4137
Mailing address
101 Medical Heights Dr Ste P
Frankfort, KY 40601-4137
Phone (502) 235-5308
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15935 | KY | MD | Electrodiagnostic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Treatment Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Frankfort, KY
- NPI 1467870022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1306264189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MEDICAL HEIGHTS DR STE P",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014137",
"telephone_number": "502-235-5308",
"fax_number": "502-352-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MEDICAL HEIGHTS DR STE P",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014137",
"telephone_number": "502-235-5308",
"fax_number": "502-352-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "KY",
"license": "15935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.