Individual provider Active NPI

Robert Milan Stainton Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jonesboro, AR
National Provider Identifier
1912945304
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
C4533 Issued in AR
Practice address
411 E Matthews Ave
Jonesboro, AR 72401-3142
Phone
(870) 930-3518
Fax
(870) 930-3569
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C4533 AR Primary

Addresses

Primary practice location

411 E Matthews Ave
Jonesboro, AR 72401-3142

Mailing address

PO Box 1326
Jonesboro, AR 72403-1326
Phone (870) 930-3518

Other identifiers 1

IdentifierTypeStateIssuer
55081OtherARBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000784 AR Practitioner - Pathology 8022192699 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors' Pathology Services, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 7, 1976 Accepting new patients
Doctors' Anatomic Pathology Services, PA Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

830 Cobb St
Jonesboro, AR 72401

411 E Matthews Ave
Jonesboro, AR 72401
Phone (501) 932-7430

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912945304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031326",
            "telephone_number": "870-930-3518",
            "fax_number": "870-930-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013142",
            "telephone_number": "870-930-3518",
            "fax_number": "870-930-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINTON",
        "first_name": "ROBERT",
        "middle_name": "MILAN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "C4533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "55081",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.