Organization Active NPI

Stafford Neurology

  • Neurology Physician
  • Stafford, VA
National Provider Identifier
1710344718
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101032992 Issued in VA
Legal business name
STAFFORD NEUROLOGY
Practice address
24 Onville Rd
Ste 205
Stafford, VA 22556-3831
Phone
(540) 658-0825
Fax
(540) 658-0835
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Michael Cohen, M.D.NPI 1891783551
Title
Owner
Phone
(540) 658-0825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0101032992 VA Primary

Addresses

Primary practice location

24 Onville Rd
Ste 205
Stafford, VA 22556-3831

Mailing address

24 Onville Rd
Ste 205
Stafford, VA 22556-3831
Phone (540) 658-0825

National Provider Directory

National Provider Directory

Locations

24 Onville Rd
Ste 205
Stafford, VA 22556
Phone (540) 658-0825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1710344718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ONVILLE RD",
            "address_2": "STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563831",
            "telephone_number": "540-658-0825",
            "fax_number": "540-658-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ONVILLE RD",
            "address_2": "STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563831",
            "telephone_number": "540-658-0825",
            "fax_number": "540-658-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-658-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101032992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.