STANTON PYBURN CHAMPION (NPI# 1174563639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174563639 |
| Entity Type | Individual |
| Full Name | STANTON PYBURN CHAMPION |
| Credential | M.D. |
| Practice Address |
700 Olympic Plaza Cir #700 Tyler TX 75701-1951 |
| Practice Telephone | 9032623900 |
| Practice Fax Number | 9032623993 |
| Mailing Telephone | 9032623900 |
| Mailing Fax Number | 9032623993 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D6982 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130171504 | 05 |
| Street Address |
700 OLYMPIC PLAZA CIR #700 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112933 | Robert M Sutherland | Anesthesiology | 700 Olympic Plaza Cir, Ste 404, Tyler, TX 75701-1955 | 2005-05-24 |
| 1043729429 | New Horizon Women's Healthcare, Pa | Obstetrics & Gynecology | 700 Olympic Plaza Cir, Suite 503, Tyler, TX 75701 | 2017-09-28 |
| 1942661756 | Olivia Lane Urben Snodgrass | Physician Assistant | 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1951 | 2016-03-08 |
| 1487024709 | Kristin Meharry | Registered Nurse | 700 Olympic Plaza Cir, Suite 600, Tyler, TX 75701-1951 | 2015-09-29 |
| 1760890693 | Neal Alton Burgess | Physician Assistant | 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 | 2014-07-23 |
| 1447517016 | Michelle Phi Medel | Obstetrics & Gynecology | 700 Olympic Plaza Cir, Ste 602, Tyler, TX 75701-1951 | 2012-04-19 |
| 1568733251 | Lester B Collins IIi Md PC | Psychiatry & Neurology | 700 Olympic Plaza Cir, Suite 910, Tyler, TX 75701-1951 | 2012-01-26 |
| 1639469281 | Moises A Sidransky | Anesthesiology | 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701-1951 | 2011-04-17 |
| 1699074351 | William Riddick Armstrong IIi | Urology | 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 | 2011-03-21 |
| 1467752915 | Jason Bradley Johnson | Nurse Practitioner | 700 Olympic Plaza Cir, Suite 600, Tyler, TX 75701-1951 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720275043 | Steven Bruce Roberts | Urology | 1017 E Idel St, Tyler, TX 75701-2025 | 2007-10-01 |
| 1861572968 | Urology Tyler, Pa | Urology | 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701-1954 | 2006-10-16 |
| 1821434630 | Ryan Webster Tubre | Urology | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2013-05-20 |
| 1699074351 | William Riddick Armstrong IIi | Urology | 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 | 2011-03-21 |
| 1639491301 | Robert Stephen Hillis | Urology | 1701 Devonshire Dr, Tyler, TX 75703-2408 | 2010-02-23 |
| 1952440992 | Burkitt W Jensen | Urology | 910 E Houston St, Ste 600, Tyler, TX 75702-8369 | 2007-02-06 |
| 1093731788 | William Bruce Harrell | Urology | 910 E Houston St, Ste 600, Tyler, TX 75702-8369 | 2006-07-14 |
| 1043250533 | Charles T Dickson | Urology | 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 | 2006-06-07 |
| 1952341448 | James D Mcandrew | Urology | 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 | 2006-06-07 |
| 1629018122 | Mark Greenberg | Urology | 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 | 2006-06-07 |
| Find all providers in TYLER | ||||
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| 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.