Healther Providers Data Logo


Provider Type Icon

STAFFORD SERVICES INC. NPI 1679542021


NPI Information

NPI: 1679542021
Provider Name: STAFFORD SERVICES, INC.

Former Legal Business Name: ORCHARD HEALTH PROFESSIONALS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 36D2156477

Address:
12380 PLAZA DR
SUITE 101
PARMA, OH
ZIP 44130
Phone: (216) 898-8399
Get Directions

STAFFORD SERVICES, INC. is a family nurse practitioner in Parma, OH. STAFFORD SERVICES, INC. NPI is 1679542021. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Orchard Health Professionals.

The provider's business location address is:

12380 PLAZA DR
SUITE 101
PARMA, OH
ZIP 44130-043
Phone: (216) 898-8399
Fax: (216) 362-0677

The provider's authorized official is Diane Lynne Goodwin .
The authorized official title is President and has the following contact phone number (216) 898-8399.

The CLIA number assigned to this NPI record is 36D2156477 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 10/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthNP-09247OHIONo
2363LA2200XNurse PractitionerAdult HealthNP-05095OHIONo
3363LA2200XNurse PractitionerAdult HealthNP-00370OHIONo
4363LF0000XNurse PractitionerFamilyNP-08145OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ST9293601MEDICARE ID-TYPE UNSPECIFIEDOHIOPROVIDER GROUP NUMBER
22647621MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »