NPIMap

Individual provider Active NPI

Timothy Scott Stanton, MD

  • Internal Medicine Physician
  • Warren, PA
National Provider Identifier
1811969173
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153655 Issued in PA
Practice address
114 Main Ave
Warren, PA 16365
Phone
(814) 723-8240
Fax
(814) 723-3665
NPI assigned
Feb 2, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 153655 PA Primary

Addresses

Primary practice location

114 Main Ave
Warren, PA 16365

Mailing address

114 Main Ave
Warren, PA 16365
Phone (814) 723-8240

Other identifiers 6

IdentifierTypeStateIssuer
0557234MedicaidPA
1568169OtherBCBS
755356OtherBCBS
00165061OtherRAILROAD MEDICAL
158813OtherTHREE RIVERS
303396OtherUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000418 PA Practitioner - Internal Medicine 6002878311 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Warren, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153655PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince Apr 11, 1994 Accepting new patients
Warren General Hospital CurrentSince Apr 11, 1994 Accepting new patients
Warren Medical Group Inc Internal Medicine Past Accepting new patients

Locations

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
D/B/a Lecom HealthWarren, PA, CCN 391319 Hospital Other Sep 1, 2018
Lecom HealthWarren, PA, CCN 39M319 Hospital Other Sep 1, 2018
Lecom HealthWarren, PA, CCN 39Z319 Hospital Other Sep 1, 2018
Warren General HospitalWarren, PA, CCN 393458 Rural health clinic W-2 Managing Employee
Other		 Sep 1, 2018
Sep 1, 2018
Warren General Hospital RHC Sugar GroveSugar Grove, PA, CCN 393456 Rural health clinic W-2 Managing Employee
Other		 Sep 1, 2018
Sep 1, 2018
Warren General HospitalWarren, PA, CCN 393457 Rural health clinic W-2 Managing Employee
Other		 Sep 1, 2018
Sep 1, 2018

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1811969173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MAIN AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-8240",
            "fax_number": "814-723-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAIN AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-8240",
            "fax_number": "814-723-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "153655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0557234",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1568169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "755356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAL",
            "identifier": "00165061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "158813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "303396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.