Active NPI
Stephen J Stafford, MD
- Urology Physician
- Raleigh, NC
National Provider Identifier
1700826435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 26056
- Practice address
- 3320 Wake Forest Rd
Suite 320
Raleigh, NC 27609-7300 - Phone
- (919) 790-5500
- Fax
- (919) 790-0108
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 26056 | NC | Primary |
Addresses
Primary practice location
3320 Wake Forest Rd
Suite 320
Raleigh, NC 27609-7300
Mailing address
160 Macgregor Pines Drive
Suite 205
Cary, NC 27511-6040
Phone (919) 873-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26056 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Urological Associates, Inc | Urology | Past | Accepting new patients |
| Wakemed Faculty Practice Plan | Past | Accepting new patients | |
| Wakemed Faculty Practice Plan | Urology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urology Physician
- Cary, NC
- NPI 1033151212
-
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
- NPI 1013203819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1700826435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 MACGREGOR PINES DRIVE",
"address_2": "SUITE 205",
"city": "CARY",
"state": "NC",
"postal_code": "275116040",
"telephone_number": "919-873-9300",
"fax_number": "919-859-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 WAKE FOREST RD",
"address_2": "SUITE 320",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097300",
"telephone_number": "919-790-5500",
"fax_number": "919-790-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "26056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.