Active NPI
Patrick Kevin Stanton, D.O.
- Interventional Pain Medicine Physician
- Bedford, TX
National Provider Identifier
1881773828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- H0842
- Practice address
- 1600 Central Dr
Suite 160
Bedford, TX 76022-6000 - Phone
- (817) 268-0104
- Fax
- (817) 268-6102
- NPI assigned
- Nov 2, 2006
- Last updated
- Mar 7, 2013
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | H0842 | TX | Primary |
Addresses
Primary practice location
1600 Central Dr
Suite 160
Bedford, TX 76022-6000
Mailing address
1600 Central Dr
Suite 160
Bedford, TX 76022-6000
Phone (817) 268-0104
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006895499 | Other | TX | EEOICP WC |
| 10029778 | Other | TX | AMERIGROUP |
| 2038806 | Other | TX | AETNA HMO |
| 528905 | Other | TX | FIRST HEALTH |
| DOH0842 | Other | TX | TEXAS WORK COMP |
| 050034040 | Other | TX | RAILROAD MEDICARE |
| 116586201 | Medicaid | TX | |
| 180403400 | Other | TX | DEPT OF LABOR KY |
| 4389604 | Other | TX | AETNA PPO |
| 86W011 | Other | TX | BLUE CROSS BLUE SHIELD |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0842 | TX | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metroplex Pain Management, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60095
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Bedford, TX
- NPI 1396800223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1881773828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CENTRAL DR",
"address_2": "SUITE 160",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226000",
"telephone_number": "817-268-0104",
"fax_number": "817-268-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CENTRAL DR",
"address_2": "SUITE 160",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226000",
"telephone_number": "817-268-0104",
"fax_number": "817-268-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "PATRICK",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "H0842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EEOICP WC",
"identifier": "006895499",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10029778",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2038806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "528905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS WORK COMP",
"identifier": "DOH0842",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050034040",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116586201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR KY",
"identifier": "180403400",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4389604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86W011",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.