Bic Stafford, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000713 Issued in MO

Practice address

11352 Dorsett Rd
Maryland Heights, MO 63043-3412

Phone

(314) 289-8777

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Family Foot and Ankle Care

  • Podiatrist
  • Maryland Heights, MO
  • NPI 1053351882
  NPD (past) Authorized official
• Stafford Foundation

  • Podiatrist
  • Maryland Heights, MO
  • NPI 1548296999
  NPD (past) Authorized official
• Bic in Home Services, LLC

  • Prosthetic/Orthotic Supplier
  • Maryland Heights, MO
  • NPI 1659735520
  NPD
• County of St Louis Division of Fiscal Management

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700826534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11352 DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433412",
            "telephone_number": "314-289-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11352 DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433412",
            "telephone_number": "314-289-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BIC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308544105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Spudich, PHARM.D.
• SSM Depaul Medical Group, Inc.
• SSM Medical Group Inc.
• St. Luke'S Family Medicine - Maryland Heights LLC
• Stafford Foundation
• Angelia Sue Stamps
• Sharon Stecher, MSN, APRN,BC
• Steve Crawford, L.L.C.
• Ke'Aira Stewart
• Amy M Stowers, RNFA, BSN, CNOR

• Podiatrist in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.