Active NPI
Frank Clayton Stafford Jr., DO, DC
- Aerospace Medicine Physician
- Fort Riley, KS
National Provider Identifier
1316975543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- DO.1749
- Practice address
- 814 Marshall Road
Fort Riley, KS 66442-4458 - Phone
- (801) 652-6066
- NPI assigned
- Jun 28, 2006
- Last updated
- Jul 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | DO.1749 | AL | Primary |
| Occupational Medicine Physician | 2083X0100X | DO.1749 | AL |
Addresses
Primary practice location
814 Marshall Road
Fort Riley, KS 66442-4458
Mailing address
301 Andrews Ave
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Other practice location 1
301 Andrews Ave
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5684445 | Other | UT | MAILHANDLERS PROVIDER ID |
| 60554711200001 | Other | UT | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Detroit, MI 48277
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1749 | AL | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Kansas M LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Utah Valley Spinal Health LLC | Past | Accepting new patients | |
| Pratt Operator, LLC | Past | Accepting new patients |
Locations
605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Organizations & group practices 4
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.
-
dba Maple Ridge Spinal Pain Center Provo
- Chiropractor
- Provo, UT
- NPI 1346386133
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greensburg, KS
- NPI 1942309166
-
dba Pratt Health and Rehab
- Skilled Nursing Facility
- Pratt, KS
- NPI 1578862629
Nursing home
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1316975543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193",
"fax_number": "334-255-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 MARSHALL ROAD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424458",
"telephone_number": "801-652-6066"
}
],
"practiceLocations": [
{
"address_1": "301 Andrews Ave",
"address_purpose": "LOCATION",
"city": "Fort Rucker",
"state": "AL",
"postal_code": "363625333",
"country_code": "US",
"telephone_number": "800-261-7193",
"fax_number": "334-255-7710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAFFORD",
"first_name": "FRANK",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO, DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "AL",
"license": "DO.1749",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "AL",
"license": "DO.1749",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDLERS PROVIDER ID",
"identifier": "5684445",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "60554711200001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.