Active NPI
Charles J Stanton, M.D.
- Surgery Physician
- Springfield, OR
National Provider Identifier
1942239348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD15090
- Practice address
- 3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800 - Phone
- (541) 868-9303
- Fax
- (541) 868-9306
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD15090 | OR | Primary |
Addresses
Primary practice location
3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Mailing address
3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 868-9303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156026 | Medicaid | OR |
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 |
|---|---|---|---|
| MD15090 | OR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1942239348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 RIVERBEND DR STE 300",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-868-9303",
"fax_number": "541-868-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 RIVERBEND DR STE 300",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-868-9303",
"fax_number": "541-868-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD15090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156026",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.