Active NPI
Benjamin L Stafford, CRNA
- Certified Registered Nurse Anesthetist
- Laconia, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 065099-23
- Practice address
- 80 Highland Street
Laconia, NH 03246-3235 - Phone
- (603) 524-3211
- Fax
- (660) 826-4852
- NPI assigned
- Oct 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 213865 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 065099-23 | NH | Primary |
Addresses
Primary practice location
80 Highland Street
Laconia, NH 03246-3235
Mailing address
PO Box 190
Laconia, NH 03247-0190
Phone (603) 524-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Hospital & facility affiliations
- Memorial Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213865 | NC | MD | Certified Registered Nurse Anesthetist |
| 065099-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Lrghealthcare | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients |
Locations
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Organizations & group practices 5
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.
-
- Critical Access Hospital
- North Conway, NH
- NPI 1700864709
-
- Family Medicine Physician
- Laconia, NH
- NPI 1700976032
-
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
-
- Medicare Defined Swing Bed Hospital Unit
- North Conway, NH
- NPI 1942361985
-
- Family Medicine Physician
- North Conway, NH
- NPI 1992000103
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- North Conway, NH
- NPI 1700864709
-
- Endocrinology, Diabetes & Metabolism Physician
- North Conway, NH
- NPI 1629060926
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1720398175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "LACONIA",
"state": "NH",
"postal_code": "032470190",
"telephone_number": "603-524-3211",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HIGHLAND STREET",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-524-3211",
"fax_number": "660-826-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "BENJAMIN",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-19",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "213865",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "065099-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.