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MR. PETER MALCOLM STANFORD PA-C
NPI 1770822348
Physician Assistant - Medical in Goldsboro, MD

Active since February 02, 2013PECOS Enrolled
316 RAILROAD AVE, GOLDSBORO, MD 21636(410) 634-2380(410) 482-7488 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Peter Malcolm Stanford Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER MALCOLM STANFORD PA-C (NPI 1770822348) is an individual medical provider in Goldsboro, Maryland, licensed in Maryland (C04049) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770822348
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PETER MALCOLM STANFORDCredential: PA-C
Location Address316 RAILROAD AVEGoldsboro, MD 21636-1126
Mailing Address301 Randolph StDenton, MD 21629-1243 · (410) 479-4306 · Fax (410) 479-1714
Phone(410) 634-2380
Fax(410) 482-7488
Sole ProprietorNo
Enumeration DateFebruary 2, 2013
Last NPPES UpdateOctober 19, 2015
✔ NPI 1770822348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C04049
316 RAILROAD AVE, Goldsboro, MD 21636
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Peter Malcolm Stanford Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA JEAN KARNES-AMZIBEL DO
Family Medicine
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
BONNIE L DOVE RDH
Dental Hygienist
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
THOMAS GRIFFITH DUNCAN JR. DDS
Dentist
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 482-2224
MORGAN RHODES SMITHMYER DMD
Dentist
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
DR. ERIC HERMANSEN MD
Internal Medicine
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
GREGORY A HOLMES M.D.
Family Medicine
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
MRS. JESSICA MAE RUNKLE MS
Counselor (Mental Health)
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Stanford's NPI number?

The NPI number for Peter Stanford is 1770822348. It was assigned to this individual provider in the NPPES registry on February 2, 2013.

Where is Peter Stanford located?

Peter Stanford practices at 316 Railroad Ave, Goldsboro, MD 21636. The listed phone number is (410) 634-2380.

What is Peter Stanford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Peter Stanford enrolled in Medicare?

Yes. Peter Stanford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Stanford was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.