C. Craig Stafford, Md Psc

LBN: C. Craig Stafford, Md Psc
C. Craig Stafford, Md Psc is an health care organization with primary practice located at 1401 Harrodsburg Road A-450, Lexington KY 40504-3794. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. C. Craig Stafford, Md Psc can be contacted via phone (859) 373-0215, or through Stafford, Charles Craig via phone (859) 373-0215.

Contact Information

Primary practice address
1401 Harrodsburg Road A-450 Lexington KY 40504-3794
Fax: (859) 373-0235
Website:
Authorized official contact:
Name: Stafford, Charles Craig Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 24728 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004939 Kentucky

Profile Details

NPI number 1831408046
LBN Legal business name C. Craig Stafford, Md Psc
DBA Doing business as
Authorized official Stafford, Charles Craig Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2010
Last updated Feb 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831408046 NPPES
Kentucky MEDICAID 7100143740
Kentucky MEDICAID 7100144720

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