ROBERT M STANDERFORD (NPI# 1255437893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255437893 |
| Entity Type | Individual |
| Full Name | ROBERT M STANDERFORD |
| Credential | P.A.-C |
| Practice Address |
1105 W Frank Ave Ste. 290 Lufkin TX 75904-3303 |
| Mailing Address |
2508 Hanks St Lufkin TX 75904-5404 |
| Practice Telephone | 9366995040 |
| Practice Fax Number | 9366995039 |
| Mailing Telephone | 9366370778 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03586 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1105 W FRANK AVE STE. 290 |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154399871 | Jennifer Lynn Kalmer | Physical Medicine & Rehabilitation | 1105 W Frank Ave, Suite 290, Lufkin, TX 75904-3303 | 2006-03-09 |
| 1205198561 | Rachael Elizabeth Sullivan | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2012-06-13 |
| 1770849184 | Rebekah Koch, M.d., Pllc | Psychiatry & Neurology | 1105 W Frank Ave, Suite 280, Lufkin, TX 75904-3303 | 2012-04-10 |
| 1841514445 | C Doyle Haynes Md Pa | General Practice | 1105 W Frank Ave, Ste 290, Lufkin, TX 75904-3303 | 2010-03-25 |
| 1417119603 | Rebekah W Koch | Psychiatry & Neurology | 1105 W Frank Ave, Ste 280, Lufkin, TX 75904-3303 | 2008-06-28 |
| 1568623155 | Basem Ramzi Shabb | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2008-06-17 |
| 1952599037 | Carolyn Marie Moyers | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2007-10-14 |
| 1144427261 | Dixie Ann Mcclendon-coker | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 110, Lufkin, TX 75904-3303 | 2007-07-02 |
| 1407946205 | Jerry H. Jenkins, M.d., P.a. | Family Medicine | 1105 W Frank Ave, Suite 290, Lufkin, TX 75904-3303 | 2006-10-13 |
| 1093764284 | David A Ladden | Internal Medicine | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2006-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528137833 | Mark Andrew Saldana | Physician Assistant | 1111 W Frank Ave Ste 100, Lufkin, TX 75904-3390 | 2006-11-08 |
| 1184719486 | Robert A Young Jr. | Physician Assistant | 4313 Daniel Mccall Dr, Lufkin, TX 75904-0819 | 2006-10-03 |
| 1962511899 | Eric Christopher True | Physician Assistant | 1503 Hanks St, Lufkin, TX 75904-5411 | 2006-08-30 |
| 1700813516 | Courtney Hanna Goodman | Physician Assistant | 10 Medical Center Blvd Ste I, Lufkin, TX 75904-3163 | 2006-06-27 |
| 1194024703 | Judy-ann Marie Acosta | Physician Assistant | 10 Medical Center Blvd Ste A, Lufkin, TX 75904-3163 | 2011-03-22 |
| 1417969007 | Michael O'dell | Physician Assistant | 208 Gaslight Blvd, Lufkin, TX 75904-3166 | 2006-08-12 |
| 1578572152 | Shane Howatt | Physician Assistant | 1702 E Denman Ave, Lufkin, TX 75901-6110 | 2006-08-05 |
| 1689682759 | John Edward Mullen | Physician Assistant | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-04 |
| 1912913807 | Timothy Johnson | Physician Assistant | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-07-31 |
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| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.