Individual provider Active NPI

Juliane Stanton, PA-C

  • Physician Assistant
  • Wilmington, OH
National Provider Identifier
1396360434
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50006376RX Issued in OH
Practice address
2845 Progress Way
Wilmington, OH 45177-7704
Phone
(937) 366-1082
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 50006376RX OH Primary

Addresses

Primary practice location

2845 Progress Way
Wilmington, OH 45177-7704

Mailing address

2845 Progress Way
Wilmington, OH 45177-7704
Phone (937) 366-1082

Other practice location 1

999 Brubaker Dr
Kettering, OH 45429-3505
Phone (937) 313-0081

Other practice location 2

7211 N Main St Ste 2
Dayton, OH 45415-2560
Phone (937) 350-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103001505 OH Practitioner - Physician Assistant 6507276516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Urgent Care Inc.Group PAC ID 7214101237, 15 clinicians

Practice addresses (Care Compare)

1311 Leesburg Ave
Washington Court House, OH 43160-8655
Phone (740) 780-5250

3062 Kingsdale Ctr
Columbus, OH 43221-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50006376RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Urgent Care Inc CurrentSince Sep 1, 2022 Accepting new patients
Arlington Urgent Care Inc Single Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

3062 Kingsdale Ctr
Upper Arlngtn, OH 43221
Phone (614) 484-1940

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1396360434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 PROGRESS WAY",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451777704",
            "telephone_number": "937-366-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 PROGRESS WAY",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451777704",
            "telephone_number": "937-366-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Brubaker Dr",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454293505",
            "country_code": "US",
            "telephone_number": "937-313-0081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 N Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454152560",
            "country_code": "US",
            "telephone_number": "937-350-6700",
            "fax_number": "937-716-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "JULIANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50006376RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.