Kevan Christopher Stanton, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD162067 Issued in OR

Practice address

1128 NE 2ND St Ste 103
Corvallis, OR 97330-6230

Phone

(203) 507-0159

NPI assigned

Apr 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Kansas School of Med (KC/Wich/Sal), 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Oaks Anesthesia LLCGroup PAC ID 0648665067, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Three Oaks Anesthesia LLC

  • Anesthesiology Physician
  • Albany, OR
  • NPI 1104586726
  Medicare reassignment Care Compare group NPD
• Oag Trauma Services LLC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1548669948
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1457524548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 NE 2ND ST STE 103",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306230",
            "telephone_number": "203-507-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NE 2ND ST STE 103",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306230",
            "telephone_number": "203-507-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "KEVAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD162067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500661662",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Stangel
• Anthony Stanley
• Mary Frances Stanley
• Nathaniel Stanley
• Richard John Stanley, D.O.
• Chandre LK Stanwood
• Morgynn Skye Stedman
• Katherine Anne Steele, DO
• Amy Elaine Steelman
• Amber Stefan

• Anesthesiology Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; 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.

Verify at the official NPI Registry.