John Sullivan Stafford, M.D.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00750 Issued in TX

Practice address

4226 Warpath Ave
Santa Fe, TX 77510-8615

Phone

(409) 925-4949

Fax

(409) 925-4088

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346469616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 WARPATH AVE",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775108615",
            "telephone_number": "409-925-4949",
            "fax_number": "409-925-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 WARPATH AVE",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775108615",
            "telephone_number": "409-925-4949",
            "fax_number": "409-925-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "JOHN",
        "middle_name": "SULLIVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G5640",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sckittone
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• Stepping Stones Community Church of the Desert (Stepping Stones Counseling Services)
• Texas Professional Healthcare Alliance, Inc.
• Texas State Optical of Santa Fe, P.a.
• Yen Kim Than, RPH

• Medical Physician Assistant in Santa Fe, TX
• Providers in Santa Fe, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.