DR. JACOB M STANFIELD (NPI# 1164740403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164740403 |
| Entity Type | Individual |
| Full Name | DR. JACOB M STANFIELD |
| Credential | M.D. |
| Practice Address |
875 Swift Blvd Richland WA 99352-3592 |
| Mailing Address |
560 Gage Blvd Suite 203 Richland WA 99352 |
| Practice Telephone | 5099461654 |
| Practice Fax Number | 5099435652 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD60630896 | WA | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD60630896 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1164740403 | 05 | |
| WA | 1164740403 | 05 |
| Street Address |
875 SWIFT BLVD |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497736961 | Mary Lynn Scovazzo | Orthopaedic Surgery | 875 Swift Blvd, Richland, WA 99352-3592 | 2005-11-10 |
| 1720519887 | Leticia Leal | Physical Therapist | 875 Swift Blvd, Richland, WA 99352-3592 | 2017-03-21 |
| 1881125946 | Daniel Mccook | Physical Therapist | 875 Swift Blvd, Richland, WA 99352-3592 | 2017-03-21 |
| 1629519236 | Caitlyn Mccartney | Physical Therapist | 875 Swift Blvd, Richland, WA 99352 | 2017-03-15 |
| 1396284709 | Matthew Kent Porter | Physician Assistant | 875 Swift Blvd, Richland, WA 99352 | 2017-02-17 |
| 1467898577 | Ashley M Lineberry | Physical Therapist | 875 Swift Blvd, Richland, WA 99352 | 2013-05-15 |
| 1811274459 | Proliance Surgeons, Inc., P.s. | Family Medicine | 875 Swift Blvd, Richland, WA 99352-3592 | 2011-11-10 |
| 1518250554 | Timothy Robert Nickolaus | Physician Assistant | 875 Swift Blvd, Richland, WA 99352-3592 | 2011-05-24 |
| 1225327364 | Jason Ryan Dutton | Orthopaedic Surgery | 875 Swift Blvd, Richland, WA 99352 | 2011-03-29 |
| 1982900767 | Amy L Busfield | Physical Therapist | 875 Swift Blvd, Richland, WA 99352 | 2011-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512021 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-05-08 |
| 1205307253 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 901 Boren Ave Ste 711, Seattle, WA 98104-3301 | 2018-12-16 |
| 1760853550 | William Backlund Md | Orthopaedic Surgery | 23736 Ne 116th Pl, Redmond, WA 98053-5611 | 2015-10-19 |
| 1366509663 | Thomas Weston Hutchinson | Orthopaedic Surgery | 922 51st St Sw, Everett, WA 98203-3001 | 2007-01-03 |
| 1174781421 | Alexander Kirk Reichard | Orthopaedic Surgery | 601 W 5th Ave Ste 400, Spokane, WA 99204-2715 | 2008-05-22 |
| 1376716597 | Strait Orthopedic Specialists, Ps | Orthopaedic Surgery | 520 N 5th Ave, Sequim, WA 98382-3079 | 2008-04-09 |
| 1780889063 | Haines K Paik | Orthopaedic Surgery | 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2007-06-18 |
| 1891811725 | David P Ruoff Md Inc Ps | Orthopaedic Surgery | 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 | 2007-03-22 |
| 1598857583 | Richard A Dimond | Orthopaedic Surgery | 1660 S Columbian Way, Compensation and Pension Clinic 5 136 C&p, Seattle, WA 98108 | 2006-09-28 |
| 1093812778 | David F Scott | Orthopaedic Surgery | 785 E Holland Ave, Spokane, WA 99218-1257 | 2006-09-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.