Stafford Pediatrics, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101036605 Issued in VA

Legal business name

STAFFORD PEDIATRICS, P.C.

Practice address

385 Garrisonville Rd
Suite 209
Stafford, VA 22554-1545

Phone

(540) 659-0111

Fax

(540) 720-5867

NPI assigned

Mar 10, 2007

Last updated

Nov 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Michael Carr, MD, FAAPNPI 1780640029

Title

Pediatrician, Sole Practitioner, PR

Phone

(540) 659-0111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Michael Carr, M.D.,F.A.A.P.

  • Pediatrics Physician
  • Stafford, VA
  • NPI 1780640029
  NPD (past) Authorized official
• Deborah Callender, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Stafford, VA
  • NPI 1790816320
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1447382940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-659-0111",
            "fax_number": "540-720-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-659-0111",
            "fax_number": "540-720-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PEDIATRICIAN, SOLE PRACTITIONER, PR",
        "authorized_official_telephone_number": "540-659-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101036605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6780073",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stafford Investment Ventures, Inc (Stafford Pharmacy)
• Stafford Massage Center LLC (Stafford Massage and Healing Arts)
• Stafford Neurology
• Stafford Optometry, LLC (My Eye Dr.)
• Stafford Oral Surgery P.C.
• Stafford Physical Therapy, Inc.
• Stafford Primary Care Associates, Inc.
• Stafford Surgical, P.C.
• Stafford Urgent Care, Inc.
• Stafford Womens Health Associates

• Primary Care Clinic/Center in Stafford, VA
• Providers in Stafford, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.