DONALD E STANFORD (NPI# 1952441941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952441941 |
Entity Type | Individual |
Full Name | DONALD E STANFORD |
Credential | PA |
Practice Address |
142 County Road 1548 Saltillo MS 38866-9006 |
Practice Telephone | 6628419254 |
Mailing Telephone | 6628419254 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA004 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | STATE PA MEDICAL LICENSE | PA004 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891240222 | Donald Stanford | Social Worker | 1112 Court St, Muskogee, OK 74401-5925 | 2016-08-15 |
1861400657 | Donald H Stanford | Psychiatry & Neurology | 2232 Carleton St, Berkeley, CA 94704-3225 | 2006-08-04 |
Street Address |
142 COUNTY ROAD 1548 |
City | SALTILLO |
State | MS |
Zip Code | 38866-9006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578019154 | North Mississippi Medical Center Inc. | Clinic/Center | 108 Desert Cove, Saltillo, MS 38866 | 2016-09-01 |
1386010718 | Dpti Elite Physical Therapy LLC | Physical Therapist | 2319 Hwy 145, Saltillo, MS 38866 | 2015-08-20 |
1891034435 | Nutrition Care LLC | Clinic/Center | 306 Cr 521, Saltillo, MS 38866 | 2013-02-01 |
1376705228 | Suzann Michelle Randle | Speech-Language Pathologist | 235 Cr 251, Saltillo, MS 38866 | 2008-07-01 |
1760670392 | Amanda Blount Ermis | Nurse Practitioner | 110 Big Harpe Trail, Saltillo, MS 38866 | 2007-10-09 |
1225157159 | Twincare Family Clinic | Clinic/Center | 2686 Hwy 145 S, Suite B, Saltillo, MS 38866 | 2007-03-29 |
1972656288 | Elite Physical Therapy, P.a. | Physical Therapist | 113 Town Creek Dr, Saltillo, MS 38866 | 2007-01-19 |
1245324417 | Martin Dental Clinic Pa | Dentist | 179 Mobile St, Saltillo, MS 38866 | 2006-10-03 |
1780786889 | North Mississippi Medical Clinics Inc | Family Medicine | 353 Mobile Street, Saltillo, MS 38866 | 2006-09-01 |
1437181088 | Julie C. Brock, O.d., Inc. | Optometrist | 107 Town Creek Drive, Suite A, Saltillo, MS 38866 | 2006-07-06 |
Find all providers in zip 38866 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
1962804211 | Miranda Street Sudduth | Physician Assistant | 1607 Doctors Drive, Madison, MS 39110 | 2014-09-18 |
1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
1710316880 | Vani Naraharisetty | Physician Assistant | 101 Asbury Circle, Hattiesburg, MS 39402-1150 | 2013-11-08 |
1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
1083878243 | Garrett Miller | Physician Assistant | 81 Mdg (aetc), 301 Fisher St, Keelser Afb, MS 39534 | 2008-07-16 |
1891979597 | Franklin Mcgrew | Physician Assistant | 22689 Highway 63 North, Leakesville, MS 39451 | 2007-12-18 |
1851421192 | Angela Marie Dauro | Physician Assistant | 147 Reynoir St Ste 200, Biloxi, MS 39530-4121 | 2007-03-06 |
1144301458 | Ashley J Larsen | Physician Assistant | 2a Doctors Dr, Ocean Springs, MS 39564-5721 | 2006-10-17 |
1013966969 | Angelle P Lowery | Physician Assistant | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-05-09 |
Find all providers with the same taxonomy |
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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.