Active NPI
Thomas L Standeford, MD
- Emergency Medicine Physician
- Lancaster, OH
National Provider Identifier
1801877113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35046675
- Practice address
- 401 N Ewing St
Lancaster, OH 43130-3372 - Phone
- (740) 687-8000
- Fax
- (740) 687-8939
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35046675 | OH | Primary |
Addresses
Primary practice location
401 N Ewing St
Lancaster, OH 43130-3372
Mailing address
PO Box 713464
Cincinnati, OH 45271-0001
Phone (740) 687-8990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0513742 | Medicaid | OH | |
| 35046675 | Other | OH | OHIO STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35046675 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Fairfield ER Physicians Dba Fairfield Medical Center Pro Fee | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Lancaster, OH
- NPI 1598705949
-
- Emergency Medicine Physician
- Lancaster, OH
- NPI 1942233879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1801877113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713464",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452710001",
"telephone_number": "740-687-8990",
"fax_number": "740-687-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N EWING ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303372",
"telephone_number": "740-687-8000",
"fax_number": "740-687-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDEFORD",
"first_name": "THOMAS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35046675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0513742",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE LICENSE",
"identifier": "35046675",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.