Individual provider Active NPI

James M Stanford, MD

  • General Practice Physician
  • Coldwater, KS
National Provider Identifier
1417211665
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04-37374 Issued in KS
Practice address
202 S Frisco St
Coldwater, KS 67029-9101
Phone
(620) 582-2144
Fax
(620) 582-2572
NPI assigned
Jul 2, 2012
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 04-37374 KS Primary

Addresses

Primary practice location

202 S Frisco St
Coldwater, KS 67029-9101

Mailing address

202 S Frisco Street
Comanche County Hospital
Coldwater, KS 67029
Phone (620) 582-2144

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723002224 KS Practitioner - General Practice 3779721576 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-37374KSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital CurrentSince Jul 2, 2014 Accepting new patients

Locations

202 S Frisco St
Coldwater, KS 67029
Phone (620) 528-2144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1417211665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S FRISCO STREET",
            "address_2": "COMANCHE COUNTY HOSPITAL",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "67029",
            "telephone_number": "620-582-2144",
            "fax_number": "620-582-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S FRISCO ST",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670299101",
            "telephone_number": "620-582-2144",
            "fax_number": "620-582-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-37374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, KS

Sources for this page

Verify at the official NPI Registry.