Active NPI
William Clayton Stafford, M.D.
- Emergency Medicine Physician
- Stanford, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 41705
- Practice address
- 103 Hilltopper Dr
Stanford, KY 40484-1073 - Phone
- (270) 963-6011
- NPI assigned
- Oct 10, 2006
- Last updated
- Oct 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 41705 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 125050533 | IL | |
| Family Medicine Physician | 207Q00000X | 41705 | KY |
Addresses
Primary practice location
103 Hilltopper Dr
Stanford, KY 40484-1073
Mailing address
103 Hilltopper Dr
Stanford, KY 40484-1073
Phone (270) 963-6011
Other practice location 1
1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390
1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.56 of 100
- Quality
- 88.12
- Improvement activities
- 40
- Cost
- 77.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41705 | KY | MD | Emergency Medicine Physician |
| 125050533 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emhfl, Inc. | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Rockcastle Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Alma | Family Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Emhfl, Inc. | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Alpena | Emergency Medicine | Current | Accepting new patients |
| Mymichigan Medical Center West Branch | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Emergency Medicine | Current | Accepting new patients |
| Concord Company of Tennessee PLLC | Emergency Medicine | Current | Accepting new patients |
| Mymichigan Medical Center West Branch | Emergency Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center Clare | Emergency Medicine | Current | Accepting new patients |
| JMHC Inc | Past | Accepting new patients |
Locations
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388
145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
110 Metker Trl
Ste C
Stanford, KY 40484
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Ownership & related parties
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fort Logan Hospital | Hospital | Corporate Director | Jan 1, 2018 |
| Fort Logan Hospital | Hospital | Corporate Director | Jan 1, 2022 |
| Ephraim McDowell Garrard Clinic | Rural health clinic | Corporate Director | Jul 1, 2018 |
| Liberty Family Medical Center | Rural health clinic | Corporate Director | Jul 1, 2018 |
| North Garrard Family Medical Center | Rural health clinic | Corporate Director | Jul 1, 2018 |
| Fort Logan Walk-in & Primary Care | Rural health clinic | Corporate Director | Jul 1, 2018 |
| Danville Family Physicians | Rural health clinic | Corporate Director | Jan 1, 2018 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Fort Logan Hospital
- Medicare Defined Swing Bed Hospital Unit
- Stanford, KY
- NPI 1164578662
Corporate Director
-
dba Liberty Family Medical Center
- Family Medicine Physician
- Liberty, KY
- NPI 1023500618
Corporate Director
-
dba Fort Logan Walk-in & Primary Care
- Family Medicine Physician
- Stanford, KY
- NPI 1205328895
Corporate Director
-
dba Danville Family Physicians
- Family Medicine Physician
- Danville, KY
- NPI 1417436221
Corporate Director
-
dba North Garrard Family Medical Center
- Family Medicine Physician
- Lancaster, KY
- NPI 1851883441
Corporate Director
-
dba Fort Logan Hospital
- Critical Access Hospital
- Stanford, KY
- NPI 1932254265
Corporate Director
-
dba Ephraim McDowell Garrard Clinic
- Rural Health Clinic/Center
- Lancaster, KY
- NPI 1952893620
Corporate Director
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
-
dba Fort Logan Profees
- Certified Registered Nurse Anesthetist
- Stanford, KY
- NPI 1114121159
Family Medicine
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Campbellsville, KY
- NPI 1689761942
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1972691541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 HILLTOPPER DR",
"city": "STANFORD",
"state": "KY",
"postal_code": "404841073",
"telephone_number": "270-963-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 HILLTOPPER DR",
"city": "STANFORD",
"state": "KY",
"postal_code": "404841073",
"telephone_number": "270-963-6011"
}
],
"practiceLocations": [
{
"address_1": "1501 W Chisholm St",
"address_purpose": "LOCATION",
"city": "Alpena",
"state": "MI",
"postal_code": "497071401",
"country_code": "US",
"telephone_number": "989-356-7252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAFFORD",
"first_name": "WILLIAM",
"middle_name": "CLAYTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "41705",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125050533",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "41705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.