Active NPI
Edward Spires Stanton, MD
- Surgery Physician
- Low Moor, VA
National Provider Identifier
1144201278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101236472
- Practice address
- 1 Arh Lane
Suite 202B
Low Moor, VA 24457 - Phone
- (540) 862-7181
- NPI assigned
- Nov 7, 2005
- Last updated
- Sep 28, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 27858 | NC | |
| Surgery Physician | 208600000X | 061521 | GA | |
| Surgery Physician | 208600000X | 0101236472 | VA | Primary |
Addresses
Primary practice location
1 Arh Lane
Suite 202B
Low Moor, VA 24457
Mailing address
1 Arh Lane
Suite 202B
Low Moor, VA 24457
Phone (540) 862-7181
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79324 | Other | NC | BLUE CROSS BLUE SHIELD |
| 1144201278 | Medicaid | VA | |
| P00338174 | Other | RAILROAD MEDICARE | |
| 8979324 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27858 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Past | Accepting new patients | |
| Americus & Sumter County Hospital Authority | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sumter Regional Hospital
- Rehabilitation Hospital Unit
- Americus, GA
- NPI 1164517173
-
- Ambulatory Surgical Clinic/Center
- Gallup, NM
- NPI 1184890899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1144201278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ARH LANE",
"address_2": "SUITE 202B",
"city": "LOW MOOR",
"state": "VA",
"postal_code": "24457",
"telephone_number": "540-862-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ARH LANE",
"address_2": "SUITE 202B",
"city": "LOW MOOR",
"state": "VA",
"postal_code": "24457",
"telephone_number": "540-862-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "EDWARD",
"middle_name": "SPIRES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "27858",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "061521",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101236472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "79324",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144201278",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00338174",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979324",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Low Moor, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.