MR. PETER MALCOLM STANFORD (NPI# 1770822348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770822348 |
| Entity Type | Individual |
| Full Name | MR. PETER MALCOLM STANFORD |
| Credential | PA-C |
| Practice Address |
316 Railroad Ave Goldsboro MD 21636-1126 |
| Mailing Address |
301 Randolph St Denton MD 21629-1243 |
| Practice Telephone | 4106342380 |
| Practice Fax Number | 4104827488 |
| Mailing Telephone | 4104794306 |
| Mailing Fax Number | 4104791714 |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C04049 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
316 RAILROAD AVE |
| City | GOLDSBORO |
| State | MD |
| Zip Code | 21636-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285208 | Patricia Jean Karnes-amzibel | Family Medicine | 316 Railroad Ave, Goldsboro, MD 21636 | 2006-02-21 |
| 1659908192 | Amanda Lynn Turner | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2020-03-25 |
| 1669943148 | Melinda Payton | Nurse Practitioner | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-12-10 |
| 1346737251 | Anfal Ali | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-04-16 |
| 1922356070 | Lindsay Michelle Freedman | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2012-08-21 |
| 1518264415 | Yiya Zhou | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2011-02-12 |
| 1881910701 | Mary Ellen Caldwell | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636 | 2010-04-16 |
| 1962647487 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2008-12-12 |
| 1568659969 | Raenelle Lynn Griffin | Physician Assistant | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2007-09-28 |
| 1124222369 | Thomas Griffith Duncan Jr. | Dentist | 316 Railroad Ave, Goldsboro, MD 21636 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295077105 | Senior Care of Goldsboro, Inc | Assisted Living Facility | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-03-19 |
| 1235578261 | Tammy Lynn Merson | Registered Nurse | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-06-24 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801923016 | Vanessa Miller Stovall | Physician Assistant | 701 Stevens Mill Rd, Goldsboro, NC 27530 | 2007-02-27 |
| 1467593830 | Rosemary Eileen Kelley | Physician Assistant | 100 S James St, Goldsboro, NC 27530-4758 | 2007-02-09 |
| 1134204670 | Glenn Williams | Physician Assistant | 202 Millbrook Village Dr, Goldsboro, NC 27530-7768 | 2006-10-25 |
| 1427416502 | Hannah Mckenzie | Physician Assistant | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2016-02-04 |
| 1366809642 | Allison Rose Radford | Physician Assistant | 103 Cox Blvd, Goldsboro, NC 27534-9478 | 2016-01-18 |
| 1184047912 | Michael Albright | Physician Assistant | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2014-01-30 |
| 1093091910 | Tiffani Ann Hoefer | Physician Assistant | 1208 Parkway Dr Ste C, Goldsboro, NC 27534-9432 | 2011-10-24 |
| 1417253204 | Robin Lear Dawson | Physician Assistant | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2011-01-27 |
| 1104071034 | Ashley Blaire Slate | Physician Assistant | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2008-11-19 |
| 1336288091 | John Watson Bass | Physician Assistant | 2704 Medical Office Pl, Goldsboro, NC 27534-9460 | 2007-02-06 |
| Find all providers in GOLDSBORO | ||||
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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.