Active NPI
Andrew Stanton, D.O.
- Family Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2587
- Practice address
- 2845 Siena Heights Dr
Henderson, NV 89052 - Phone
- (702) 877-5199
- NPI assigned
- May 16, 2016
- Last updated
- Nov 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 217278 | NC | |
| Family Medicine Physician | 207Q00000X | DO2587 | NV | Primary |
Addresses
Primary practice location
2845 Siena Heights Dr
Henderson, NV 89052
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199
Other practice location 1
1601 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 678-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2845 Siena Heights Dr
Henderson, NV 89052-4153
Phone (702) 579-3253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
2845 Siena Heights Dr
Henderson, NV 89052
Phone (702) 617-1227
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
Interoperability endpoints
- astanton119198@westdirect.optum.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwest Medical
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
dba Optumcare Anesthesia
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
dba St. Rose Dominican Hospital, Siena Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1427405869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 SIENA HEIGHTS DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [
{
"address_1": "1601 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043425",
"country_code": "US",
"telephone_number": "910-678-0100",
"fax_number": "910-678-0115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANTON",
"first_name": "ANDREW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "217278",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO2587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
- Matthew Stamm, PA-C
- Eryn Stampfel, RN
- Jan Kathleen Vero Stanek, MSN, APRN, FNP-BC
- Matthew Stankiewicz
- Candice Stannard
- Linda S Stanton, OTR/L, CHT
- Laurie R Stapleton, DO
- Star Brite Dental, Hai Q. Xa D.M.D. Prof. Corp. (Star Brite Dental)
- Star Med Consulting LLC (S William Pierce MD)
- Star Primary Care, L.L.C. (Star Family Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.