JASON CHARLES STANFORD (NPI# 1003093667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003093667 |
| Entity Type | Individual |
| Full Name | JASON CHARLES STANFORD |
| Credential | P.A.-C |
| Practice Address |
19466 Caravan Dr Germantown MD 20874-6220 |
| Practice Telephone | 3015280868 |
| Mailing Telephone | 3015280868 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0002208 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334006 | Jason Stanford | Orthopaedic Surgery | 516 Division St Ste 125, Cedar Falls, IA 50613-2380 | 2007-05-13 |
| Street Address |
19466 CARAVAN DR |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730366394 | Stanford Surgical Services LLC | Physician Assistant | 19466 Caravan Dr, Germantown, MD 20874-6220 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578889549 | Caryn Louise Mohr | Physician Assistant | 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 | 2010-04-14 |
| 1700049053 | Steven N Schoonover | Physician Assistant | 19466 Caravan Court, Germantown, MD 20874-6220 | 2008-07-08 |
| 1730366394 | Stanford Surgical Services LLC | Physician Assistant | 19466 Caravan Dr, Germantown, MD 20874-6220 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on JASON CHARLES STANFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.