NPIMap

Individual provider Active NPI

Michael Dee Stalford, M.D.

  • Otolaryngology Physician
  • Hendersonville, NC
National Provider Identifier
1376518290
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
200500501 Issued in NC
Practice address
80 Doctors Dr
Suite 2
Hendersonville, NC 28792-7289
Phone
(828) 650-2748
Fax
(828) 650-2799
NPI assigned
Feb 22, 2006
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 200500501 NC Primary

Addresses

Primary practice location

80 Doctors Dr
Suite 2
Hendersonville, NC 28792-7289

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other identifiers 4

IdentifierTypeStateIssuer
142GPOtherNCBCBS
5905014MedicaidNC
P00347500OtherNCRAILROAD MEDICARE
I61506OtherNCUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20061025000499 NC Practitioner - Otolaryngology 7315944899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

80 Doctors Dr
Suite 2
Hendersonville, NC 28792-7289
Phone (828) 650-2748

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500501NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Sep 1, 2006 Accepting new patients
Fletcher Hospital Inc CurrentSince Sep 1, 2006 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients

Locations

80 Doctors Dr
Ste 2
Hendersonville, NC 28792
Phone (828) 650-2748

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: mstalford659579@adventhealth.direct-ci.com

Organizations & group practices 3

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 5

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1376518290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DOCTORS DR",
            "address_2": "SUITE 2",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927289",
            "telephone_number": "828-650-2748",
            "fax_number": "828-650-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALFORD",
        "first_name": "MICHAEL",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "200500501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "142GP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905014",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00347500",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I61506",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.