John M. Stafford, MD, and Associates, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301044515 Issued in MI

Legal business name

JOHN M. STAFFORD, MD, AND ASSOCIATES, P.C.

Practice address

3800 Hollywood Rd Ste 101
Royalton Med Center
Saint Joseph, MI 49085-8511

Phone

(269) 428-2552

Fax

(269) 428-2943

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

John Stafford, MDNPI 1730182247

Title

President

Phone

(269) 428-2552

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

Practitioners 3

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

• John M. Stafford, MD

  • Family Medicine Physician
  • Saint Joseph, MI
  • NPI 1730182247
  Medicare reassignment Care Compare group NPD Authorized official
• Debra Compton, FNP-BC

  • Family Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1255841060
  Medicare reassignment Care Compare group NPD
• Eugene A Preston, PA-C

  • Medical Physician Assistant
  • Saint Joseph, MI
  • NPI 1134225550
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260057600000",
    "number": "1972536340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD STE 101",
            "address_2": "ROYALTON MED CENTER",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858511",
            "telephone_number": "269-428-2552",
            "fax_number": "269-428-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD STE 101",
            "address_2": "ROYALTON MED CENTER",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858511",
            "telephone_number": "269-428-2552",
            "fax_number": "269-428-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. STAFFORD, MD, AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-12-06",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-428-2552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310272010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Jarvis, LAT, ATC
• Philip Jasheway, PT, AT
• Jason R Beckrow DO PC
• Leann Jewell, PT
• John M Kim DMD PC
• Benjamin W Johnson, LLPC
• Erica Johnson, PA-C
• Ewanah D Johnson, MD
• Fanny Alaez Johnson, MA
• Kelly Johnson, L.M.T.

• Family Medicine Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; 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.