Thomas Spencer Stanton II, M.D.

Key facts

NPI

1699855445

Entity type

Individual (NPI type 1)

Primary specialty

Hematology & Oncology Physician 207RH0003X

License

G63014 (CA)

Practice address

110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337

Phone

(707) 763-0600

Fax

(707) 765-1757

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Redwood Regional Medical Group Inc Hematology & Oncology Physician · Santa Rosa, CA · NPI 1275556607
  NPD (past) HEMATOLOGY & ONCOLOGY
• Redwood Regional Medical Group, Inc. Clinical Medical Laboratory · Santa Rosa, CA · NPI 1588743264
  NPD (past)
• SRM Alliance Hospital Services Skilled Nursing Facility · Petaluma, CA · NPI 1770703886
  NPD (past)
• St. Joseph Health Northern California, LLC General Acute Care Hospital · Santa Rosa, CA · NPI 1134152549
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2013.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1699855445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LYNCH CREEK WAY STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542337",
            "telephone_number": "707-763-0600",
            "fax_number": "707-765-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LYNCH CREEK WAY STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542337",
            "telephone_number": "707-763-0600",
            "fax_number": "707-765-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "THOMAS",
        "middle_name": "SPENCER",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "G63014",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G63014",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G63014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G630140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Petaluma, CA · Hematology & Oncology Physician in California