Charles C Stafford
Medical Specialty
Professional ID
- NPI: 1548282601
- PECOS ID: 2264567874
- Enrollment ID: I20100322000719
- Credential(MD, DO, DPM):
- Medical School: Bowman Gray School Of Medicine Of Wake Forest University
- Medical School Graduation Year: 1976
Hospital Service
- Hospital CCN1: 180010
- Business Name (LBN)1: Saint Joseph Hospital
- Hospital CCN2: 180143
- Business Name (LBN)2: Saint Joseph East
- Hospital CCN3: 180103
- Business Name (LBN)3: Baptist Health Lexington
Medical Practices
- Organization Name: Nephrology Associates Of Kentuckiana Psc
- Group Practice ID assigned by PECOS: 4183522618
- Number of Group Practice member: 39
Location
- Address1: 6400 Dutchmans Pkwy
- Address2: Suite 250
- City: Louisville
- State: Kentucky
- Zip Code: 40205
- Phone Number: (502)587-9660
Location
- Address1: 914 N Dixie Ave
- Address2: Suite 303
- City: Elizabethtown
- State: Kentucky
- Zip Code: 42701
- Phone Number: (270)900-0871
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):