DONALD E STANFORD


Address: 142 County Road 1548, Saltillo, MS 38866-9006
Phone: 6628419254

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA004 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS STATE PA MEDICAL LICENSE PA004 01

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Office Location

Street Address 142 COUNTY ROAD 1548
City SALTILLO
State MS
Zip Code 38866-9006

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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
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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1417194978 Bolivar Emergency Group LLC Physician Assistant 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 2009-01-20
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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
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Competitor

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City SALTILLO
Zip Code 38866

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Dataset Information

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.

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