Thaddeus Michael Stanton in Conway - Surgery
Thaddeus Michael Stanton - NPI 1053313056
Thaddeus Michael Stanton is a Surgery in Conway, Arkansas. Thaddeus Michael Stanton practices all healthcare services and medical treatments related to Surgery. The NPI Number for Thaddeus Michael Stanton is 1053313056. The last update date is 2009-11-18.
Thaddeus Michael Stanton's current location address is 525 Western Ave, Conway, Arkansas. You can contact this provider via phone number 5013274828 and fax number 5013276899. The mailing address for Thaddeus Michael Stanton is 525 Western Ave, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thaddeus Michael Stanton |
|---|---|
| Address | 525 Western Ave, Conway, Arkansas |
| Phone Number | 5013274828 |
| Fax Number | 5013276899 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053313056 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2009-11-18 |
Provider Mailing Address Detail
| Address | 525 Western Ave |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720344967 |
| Phone Number | 5013274828 |
| Fax Number | 5013276899 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | C6890 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2009881 | AR | MEDICARE RAILROAD | |
| 4339027 | AR | AETNA | |
| 111393001 | AR | -- | |
| 15289000000 | AR | QUALCHOICE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thaddeus Michael Stanton by the Centers for Medicare & Medicaid Services?
The Thaddeus Michael Stanton has been issued the NPI (National Provider Identifier) 1053313056, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Thaddeus Michael Stanton is physically located?
The Thaddeus Michael Stanton is situated at the following address: 525 Western Ave, Conway, AR 720344967.
What is Thaddeus Michael Stanton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thaddeus Michael Stanton is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Thaddeus Michael Stanton receive its 1053313056 assignment from the Centers for Medicare & Medicaid Services?
The Thaddeus Michael Stanton was assigned its 1053313056 by the Centers for Medicare & Medicaid Services on 2005-08-10.
When was the information regarding Thaddeus Michael Stanton most recently updated?
The details pertaining to the Thaddeus Michael Stanton, including its address, specialty, and other relevant information, were last refreshed on 2009-11-18.