Stanton N Smullens, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD028277L Issued in PA

Practice address

259 N Radnor Chester Rd
Suite 290
Radnor, PA 19087-5240

Phone

(610) 225-6263

NPI assigned

Aug 10, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679584460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036702",
            "telephone_number": "215-732-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N RADNOR CHESTER RD",
            "address_2": "SUITE 290",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875240",
            "telephone_number": "610-225-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMULLENS",
        "first_name": "STANTON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD028277L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Sinoimeri
• Meera Sivendran, M.D.
• Thomas Raymond Slattery Jr., MD
• Robia Smith-Herman
• Kathryn Rae Smith, CRNP
• Scott Howard Snyder, M.D.
• Thomas P Sollecito, DMD
• Sos Sleep LLC
• Mark Bertram Sostek, M.D.
• Thorne Sparkman, MD

• Vascular Surgery Physician in Radnor, PA
• Providers in Radnor, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• 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.