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Physician Compare National (NPI:1376599654)

HEALTHCARE PROVIDER: JOHN STANTON DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1376599654
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0345212460
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160126000760
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STANTON
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name H
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DO
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1990
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name AMERICAN FAMILY CARE INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9739087818
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 171
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2570 BERRYHILL RD
Group Practice or individual's line 1 address
City MONTGOMERY
Group Practice or individual's city
State AL
Group Practice or individual's state
Zip Code 361173564
Group Practice or individual's zip code (9 digits when available)
Phone Number 3343231330
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 390119
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MOSES TAYLOR HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 010120
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MONROE COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 010126
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 TROY REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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