Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thaddeus Michael Stanton, MD

Individual provider Surgery Physician · NPI 1053313056

Thaddeus Michael Stanton, MD is a General Surgery in Conway, Arkansas. Graduated from University of Arkansas College of Medicine in 1985, 41 years ago. Practices with Conway Regional Medical Center Inc, a 130-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
41
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

525 Western Ave Ste 203
Conway, AR 72034-4967
Phone: (501) 327-4828
Fax: (501) 327-6899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence C6890 (AR)

Record details

NPI number1053313056
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESNovember 18, 2009
Mailing address525 Western Ave, Suite 203, Conway, AR 72034-4967

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Conway Regional Medical Center Inc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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