Individual provider Active NPI

Raymond Terrance Stantons, DPM

  • Podiatrist
  • Selinsgrove, PA
National Provider Identifier
1447216247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC 002013-L Issued in PA
Practice address
880 US Highway 522
Selinsgrove, PA 17870-9712
Phone
(570) 374-0966
NPI assigned
Apr 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC 002013-L PA Primary

Addresses

Primary practice location

880 US Highway 522
Selinsgrove, PA 17870-9712

Mailing address

880 US Highway 522
Selinsgrove, PA 17870-9712
Phone (570) 374-0966

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC 002013-LPAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447216247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 US HIGHWAY 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709712",
            "telephone_number": "570-374-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 US HIGHWAY 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709712",
            "telephone_number": "570-374-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTONS",
        "first_name": "RAYMOND",
        "middle_name": "TERRANCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC 002013-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.