Stanford Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STANFORD MEDICAL GROUP, INC

Practice address

142 Mitchell St SW
Suite 200
Atlanta, GA 30303-3439

Phone

(404) 584-2105

Fax

(404) 584-2106

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Jeanette Junco Patino

Title

Owner

Phone

(786) 837-1175

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adedamola Oni, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1124152137
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1457521940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MITCHELL ST SW",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033439",
            "telephone_number": "404-584-2105",
            "fax_number": "404-584-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MITCHELL ST SW",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033439",
            "telephone_number": "404-584-2105",
            "fax_number": "404-584-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "JUNCO PATINO",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-837-1175"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standard of Care Psychological Services, LLC
• Standard Technology, Incorporated
• Porshia Dawn Standifer, NP
• Jonathan Standish, MS, LPC, CST
• Standpoint Therapy & Organizational Consulting
• Mark Joshua Stanga, LMSW, MS, BS
• Darina Stankeyeva, M.D.
• Ashley Stankus
• Stanley E. Rye, D.D.S., P.C.
• Candice Stanley, LPC

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.