Individual provider Active NPI

Gary Stanton, MD

  • Neurology Physician
  • Concord, MA
National Provider Identifier
1598749939
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
44341 Issued in MA
Practice address
John Cummings BLDG, Emmerson Hospital
Ste 500
Concord, MA 01742
Phone
(508) 371-8935
NPI assigned
Nov 30, 2005
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 44341 MA Primary

Addresses

Primary practice location

John Cummings BLDG, Emmerson Hospital
Ste 500
Concord, MA 01742

Mailing address

PO Box 9135
Attn Sharon Silva
Brookline, MA 02446-9135
Phone (800) 927-0002

Other identifiers 3

IdentifierTypeStateIssuer
703177OtherMATUFTS HEALTH PLAN
6165109MedicaidMA
J02257OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050405000067 MA Practitioner - NeurologyPractitioner - Pain ManagementPractitioner - Sleep Medicine 5294782017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management, Sleep Medicine
Education
Boston University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 Ornac
Concord, MA 01742-4181
Phone (978) 371-8935

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L. Stanton, MD PC Neurology CurrentSince Oct 1, 1986 Accepting new patients
Emerson Hospital Current Accepting new patients
William J. Burtis, M.D. Past Accepting new patients
James V. Bono, MD, PC Past Accepting new patients
Thomas a. Lamattina MD PC Past Accepting new patients

Locations

190 Groton Rd
Ste 290
Ayer, MA 01432
Phone (978) 772-1277

131 Ornac
Ste 600
Concord, MA 01742
Phone (978) 287-9590

Interoperability endpoints

  • Direct secure messaging: stanton.gary.epho@direct.partners.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1598749939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9135",
            "address_2": "ATTN SHARON SILVA",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469135",
            "telephone_number": "800-927-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN CUMMINGS BLDG, EMMERSON HOSPITAL",
            "address_2": "STE 500",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "508-371-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "44341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "703177",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6165109",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J02257",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.