Stafford Primary Care Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

STAFFORD PRIMARY CARE ASSOCIATES, INC.

Practice address

422 Garrisonville Rd
Suite 111
Stafford, VA 22554-1573

Phone

(540) 657-9441

Fax

(540) 657-4366

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By 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

Mr. Kell R. Hoovler

Title

President, Ceo

Phone

(540) 657-9633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Stafford Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Stafford, VA
  • NPI 1477582773

  Member Of

  NPD member

Locations

Practitioners 8

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.

• Natalie Rose Van Hoven, FNP-BC

  • Family Nurse Practitioner
  • Stafford, VA
  • NPI 1235448796
  Medicare reassignment NPD
• Russell Warren Williams, M.D.

  • Family Medicine Physician
  • Stafford, VA
  • NPI 1144226879
  Medicare reassignment NPD
• Jie Howe, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1104188317
  NPD
• Darin Michael Updyke, PA

  • Physician Assistant
  • Fredericksburg, VA
  • NPI 1023056793
  NPD
• Matthew J Weaver, PA

  • Physician Assistant
  • Fredericksburg, VA
  • NPI 1831430974
  NPD
• Alfred Larry Boulware, M.D.

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1710983408
  NPD (past)
• Alicia Gail Heron, M.D.

  • Family Medicine Physician
  • Alexandria, VA
  • NPI 1417018607
  NPD (past)
• George A Joseph, M.D.,

  • Internal Medicine Physician
  • Cambridge, MD
  • NPI 1750477113
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871522177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "GARRISONVILLE",
            "state": "VA",
            "postal_code": "224630249",
            "telephone_number": "540-657-9633",
            "fax_number": "540-657-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 111",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-657-9441",
            "fax_number": "540-657-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD PRIMARY CARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOVLER",
        "authorized_official_first_name": "KELL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "540-657-9633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stafford Neurology
• Stafford Optometry, LLC (My Eye Dr.)
• Stafford Oral Surgery P.C.
• Stafford Pediatrics, P.C.
• Stafford Physical Therapy, Inc.
• Stafford Surgical, P.C.
• Stafford Urgent Care, Inc.
• Stafford Womens Health Associates
• Achonti Stanley
• Nicole Stanton

• Specialist in Stafford, VA
• Providers in Stafford, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.