The Medical Center of Stafford

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE MEDICAL CENTER OF STAFFORD

Practice address

608 Garrisonville Rd
Suite 201
Stafford, VA 22554-3706

Phone

(540) 659-4157

Fax

(540) 659-3482

NPI assigned

Aug 31, 2006

Last updated

Oct 22, 2007By 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. Frederick B Bustin, M.D.

Title

Administrator

Phone

(504) 659-4157

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Yvonne M Villarreal, M.D.

  • Family Medicine Physician
  • Stafford, VA
  • NPI 1558360214
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1538270616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GARRISONVILLE RD",
            "address_2": "SUITE 201",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543706",
            "telephone_number": "540-659-4157",
            "fax_number": "540-659-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GARRISONVILLE RD",
            "address_2": "SUITE 201",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543706",
            "telephone_number": "540-659-4157",
            "fax_number": "540-659-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CENTER OF STAFFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "BUSTIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-659-4157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "026692",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE",
            "identifier": "250600",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baburam Thapa, PT
• Leane Marie Thaxton, MS OTR/L
• The Aria Group MHS LLC
• The Curated Crown Boutique, LLC
• The Kemp Foundation for Clinical Stewardship
• The Willow Tree
• The Willow Tree Counseling, LLC
• Olguine Theard-Chery, NURSE PRACTITIONER
• McKensey Theimer
• Jacqueline Paige Therrien

• 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 Oct 22, 2007; 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.