MR. TOM KEVIN STATON (NPI# 1477517639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477517639 |
| Entity Type | Individual |
| Full Name | MR. TOM KEVIN STATON |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1655 Ne Loop 286 Paris TX 75460 |
| Practice Telephone | 9037399191 |
| Practice Fax Number | 9729394542 |
| Mailing Telephone | 9037399191 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02697 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1655 NE LOOP 286 |
| City | PARIS |
| State | TX |
| Zip Code | 75460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487815809 | Tatesha M Pruitt | Physician Assistant | 1655 Ne Loop 286, Paris, TX 75460-2219 | 2008-06-18 |
| 1407075864 | Agnes Bertha Xavier | Internal Medicine | 1655 Ne Loop 286, Paris, TX 75460-2219 | 2007-04-24 |
| 1164587424 | James F Halloran II | Physician Assistant | 1655 Ne Loop 286, Paris, TX 75460-2219 | 2006-12-27 |
| 1689758724 | David S Salas | Family Medicine | 1655 Ne Loop 286, Paris, TX 75460-2219 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1760038582 | Hannah Mathis Hutson | Physician Assistant | 1297 Mineral Wells Ave, Paris, TN 38242-5050 | 2019-08-16 |
| 1285625129 | Timothy Allen Lavoy | Physician Assistant | 305 N Collegiate Dr, Paris, TX 75460-4870 | 2005-10-31 |
| 1528697190 | Joshua Mark Diltz | Physician Assistant | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-06 |
| 1134627557 | Eagle Creek Emergency Group, PC | Physician Assistant | 301 Tyson Ave, Paris, TN 38242-4544 | 2018-01-31 |
| 1205349875 | Reginald Robinson | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-11-06 |
| 1235648221 | Matthew K Woodruff | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2017-09-22 |
| 1790226504 | Lacey Gardner | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-03-13 |
| 1891123949 | Red River Valley Inpatient Services Pllc | Physician Assistant | 820 Clarksville St, Paris, TX 75460-6027 | 2013-10-29 |
| 1154643211 | Allison Courtney Crosby | Physician Assistant | 1188 N Market St, Paris, TN 38242-3206 | 2010-02-17 |
| Find all providers in PARIS | ||||
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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.