Active NPI
Jason Charles Stanford, P.A.-C
- Surgical Physician Assistant
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C0002208
- Practice address
- 19466 Caravan Dr
Germantown, MD 20874-6220 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Jan 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C0002208 | MD | Primary |
Addresses
Primary practice location
19466 Caravan Dr
Germantown, MD 20874-6220
Mailing address
8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339
Other practice location 1
61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jason.stanford.p1@direct.cwcare.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171
Hospital & facility affiliations
- Frederick Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Women'S Care, L.L.C. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Stanford Surgical Services LLC | Surgical | Past | Accepting new patients |
Locations
61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759
5801 Postal Rd
Unit 81310
Cleveland, OH 44181
Interoperability endpoints
- jason.stanford.p1@direct.cwcare.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1679534069
-
- Surgical Physician Assistant
- Germantown, MD
- NPI 1730366394
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1003093667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 MAPLE LAWN BLVD STE 235",
"city": "FULTON",
"state": "MD",
"postal_code": "207592694",
"telephone_number": "301-340-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19466 CARAVAN DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746220",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [
{
"address_1": "61 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024301",
"country_code": "US",
"telephone_number": "301-663-6171",
"fax_number": "301-695-4469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANFORD",
"first_name": "JASON",
"middle_name": "CHARLES",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C0002208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.stanford.p1@direct.cwcare.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "61 Thomas Johnson Dr",
"city": "Frederick",
"state": "MD",
"country_code": "US",
"postal_code": "217024301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.