DR. JERRY MICHAEL STANTON (NPI# 1679593891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679593891 |
| Entity Type | Individual |
| Full Name | DR. JERRY MICHAEL STANTON |
| Credential | D.O. |
| Practice Address |
1600 Central Dr Suite 160 Bedford TX 76022-6000 |
| Practice Telephone | 8172680104 |
| Practice Fax Number | 8172686102 |
| Mailing Telephone | 8172680104 |
| Mailing Fax Number | 8172686102 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G1555 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA HMO | 2028260 | 01 |
| TX | AMERIGROUP | 10028066 | 01 |
| TX | TEXAS WORK COMP | DOG1555 | 01 |
| TX | 116585401 | 05 | |
| MD | EEOICP | 006895499 | 01 |
| GA | RAILROAD MEDICARE | 050033686 | 01 |
| TX | DEPT OF LABOR LONDON KY | 180403400 | 01 |
| TX | AETNA PPO | 4389652 | 01 |
| TX | FIRST HEALTH | 528901 | 01 |
| TX | BLUE CROSS BLUE SHIELD TX | 86W010 | 01 |
| Street Address |
1600 CENTRAL DR SUITE 160 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718033 | Tarrant Medical Imaging, LLC | Physiological Laboratory | 1600 Central Dr, Ste 195, Bedford, TX 76022-6067 | 2005-05-23 |
| 1417369364 | Brace Center LLC | Durable Medical Equipment & Medical Supplies | 1600 Central Dr, Suite 157, Bedford, TX 76022-6000 | 2014-05-27 |
| 1215358957 | Health Imaging Partners, LLC | Physiological Laboratory | 1600 Central Dr, Suite #195, Bedford, TX 76022-6000 | 2013-12-24 |
| 1255779039 | Ameri-tech Kidney Center-bedford LLC | Clinic/Center | 1600 Central Dr, Suite 130, Bedford, TX 76022-6028 | 2013-06-13 |
| 1952638264 | Kwong Orthopedics and Sports Medicine, Pllc | Orthopaedic Surgery | 1600 Central Dr, Suite 200, Bedford, TX 76022-6000 | 2009-11-06 |
| 1609017706 | Dorothy Brown Sanders | Physical Medicine & Rehabilitation | 1600 Central Dr, Suite #156, Bedford, TX 76022-6000 | 2009-03-19 |
| 1245471333 | Texas Physical Medicine and Rehabilitatin Institute Inc | Clinic/Center | 1600 Central Dr, Suite # 156, Bedford, TX 76022-6000 | 2009-03-19 |
| 1477706745 | Sawroop Sandhu, M.d., P.a. | Hospitalist | 1600 Central Dr, Suite 131, Bedford, TX 76022-6000 | 2008-10-29 |
| 1396955233 | Jessica Praful Shah | Internal Medicine | 1600 Central Dr, Suite 310, Bedford, TX 76022-6000 | 2007-05-22 |
| 1760607055 | Lonnie G. Adian | Nurse Anesthetist, Certified Registered | 1600 Central Dr, Suite #180, Bedford, TX 76022-6000 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1073884383 | Pain Solutions Pllc | Pain Medicine | 21 Eastman Ave, Bedford, NH 03110-6744 | 2012-01-18 |
| 1750443693 | Metroplex Pain Management, P.a. | Pain Medicine | 1600 Central Dr, Suite 160, Bedford, TX 76022-6000 | 2006-12-15 |
| 1881773828 | Patrick Kevin Stanton | Pain Medicine | 1600 Central Dr, Suite 160, Bedford, TX 76022-6000 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| 1013575653 | University Pain Pllc | Pain Medicine | 4 Stillforest St, Houston, TX 77024-7518 | 2019-05-29 |
| Find all providers with the same taxonomy | ||||
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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.