Samuel Eliot Stanton, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

40812 Issued in IA

Practice address

925 Gaskill Dr
Ames, IA 50014-7816

Phone

(515) 231-7309

Fax

(888) 806-4041

NPI assigned

Jun 9, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St Croix Hospice LLC

  • Community Based Hospice Care Agency
  • Charles City, IA
  • NPI 1093128431

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• St Croix Hospice LLC

  • Community Based Hospice Care Agency
  • Ankeny, IA
  • NPI 1114273828

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• St Croix Hospice LLC

  • Community Based Hospice Care Agency
  • Strawberry Point, IA
  • NPI 1689090326

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1053631317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 GASKILL DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147816",
            "telephone_number": "515-231-7309",
            "fax_number": "888-806-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 GASKILL DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147816",
            "telephone_number": "515-231-7309",
            "fax_number": "888-806-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 8th Street",
            "address_2": "McFarland Clinic, PC",
            "address_purpose": "LOCATION",
            "city": "Story City",
            "state": "IA",
            "postal_code": "50248",
            "country_code": "US",
            "telephone_number": "515-733-5191",
            "fax_number": "515-733-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "SAMUEL",
        "middle_name": "ELIOT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40812",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "40812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beth Arden Stanton, LMSW
• Stark Smiles
• Stacy Jean Stark
• Thomas Michael Stark, D.D.S., M.S.D.
• Garrison Starkey, BT
• Anna Elizabeth Statz, D.O.

• Geriatric Medicine (Family Medicine) Physician in Ames, IA
• Providers in Ames, IA by specialty
• Geriatric Medicine (Family Medicine) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.