Provider Demographics
NPI:1982673471
Name:STANTON, DON P (PA)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:P
Last Name:STANTON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 CENTERLINE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-1403
Mailing Address - Country:US
Mailing Address - Phone:865-545-8700
Mailing Address - Fax:865-545-8704
Practice Address - Street 1:4711 CENTERLINE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-1403
Practice Address - Country:US
Practice Address - Phone:865-545-8700
Practice Address - Fax:865-545-8704
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA-0149363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPA-0149OtherPHYSICIAN ASSISTANT
TN513613Medicare UPIN
TNPA-0149OtherPHYSICIAN ASSISTANT