Tara Stanton (NPI# 1194175554, PAC ID# 7810288560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194175554 |
| PAC ID by PECOS | 7810288560 |
| Professional Enrollment ID | I20160628000223 |
| Full Name | Tara Stanton |
| Organization Legal Name | NEUROLOGY AND PAIN MANAGEMENT ASSOCIATES PC |
| Address |
112 W Jefferson Blvd Suite 600 South Bend IN 46601-1921 |
| Phone Number | 5745461900 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486676095 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1921 | 5745461900 | NEUROLOGY AND PAIN MANAGEMENT ASSOCIATES PC |
| 112 W Jefferson Blvd, South Bend, IN 46601-1921 | 5745461900 | NEUROLOGY AND PAIN MANAGEMENT ASSOCIATES PC |
| Organization Legal Name | NEUROLOGY AND PAIN MANAGEMENT ASSOCIATES PC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Brown | Nurse Practitioner | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Steven Posar | Internal Medicine | Neurology and Pain Management Associates PC | 30600 Telegraph Rd, Suite 2345, Bingham Farms, MI 48025-5720 |
| Kimberly Johnson | Clinical Psychologist | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, South Bend, IN 46601-1921 |
| Amanda M Lundberg | Nurse Practitioner | Neurology and Pain Management Associates PC | 220 W Colfax Ave, 400 Vanguard Eldercare Medical Group, South Bend, IN 46601-1635 |
| Heather Ronelle Bloomfield | Nurse Practitioner | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Constance R Bullock | Nurse Practitioner | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Artricia Desiree Bonaparte-foster | Nurse Practitioner | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Sameka R Dowell Mills | Nurse Practitioner | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Annette K Cook | Clinical Social Worker | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Shawna Plunkett | Psychologist, Clinical | Neurology and Pain Management Associates PC | 2100 N Main St, 304 Vanguard Eldercare Group, Crown Point, IN 46307-1877 |
| Street Address |
112 W JEFFERSON BLVD SUITE 600 |
| City | SOUTH BEND |
| State | IN |
| Zip | 46601-1921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Johnson | Clinical Psychologist | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, South Bend, IN 46601-1921 |
| Elana Harris | Nurse Practitioner | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, South Bend, IN 46601-1921 |
| Freda A Black | Nurse Practitioner | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1921 |
| Finote Asfaw | Nurse Practitioner | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, South Bend, IN 46601-1921 |
| Beth A Dekoninck | Nurse Practitioner | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, South Bend, IN 46601-1921 |
| Michael S Jones | Clinical Psychologist | Neurology and Pain Management Associates PC | 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly W Mcguire | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Patrick J Brand | Qualified Audiologist | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Sara Baumgartner | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Edward P Delle Donne | Colorectal Surgery (proctology) | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Zhiquan Zhao | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Shannon Luczak | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Cheryl Ann Stahl | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Daniel F Czarnecki | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Michael C Rotkis | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Luis Alfonso Benavente Chenhalls | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Find all physicians in zip 46601 | |||
| City | SOUTH BEND |
| Zip Code | 46601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTH BEND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara Stanton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.