Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922530591 Individual Practitioner Male Practitioner

Johnny Staton , LSA

Physician Assistant - Surgical • Mesquite, TX

Professional Overview & Biography Verified Profile Summary

Johnny Staton, LSA is a registered healthcare professional specializing in Physician Assistant - Surgical in Mesquite, TX. Practice services are available at 1208 PAINTBRUSH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1208 Paintbrush St

Mesquite, TX 75149

Telephone 2142272457
Fax 2147640880
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Mesquite, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Mesquite, TX (1367 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License TX SA00687

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Medical Board
SA00687 (TX)

Secondary Practice Locations

445 E Fm 1382, 3-195

Cedar Hill, TX 751046047

Phone: 2149809437

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jason Stanford , PA-C

Physician Assistant - Surgical

NPI 1003093667

Physician Assistant (Certified)

Barbara Vucasovich , SA-C

Physician Assistant - Surgical

NPI 1003405705

SAC

Alvin Abellana , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1013280809
Christine Nolan , RNFA

Clinical Nurse Specialist - Medical-Surgical

NPI 1013289594
Emmanuel Rivers , CSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1013394915
Krystle Valverde , LSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1013467653

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 25, 2019

Registered at 1208 PAINTBRUSH ST, MESQUITE, TX 75149 (Tel: 2142272457)

📍
Updated Business Mailing Address April 25, 2019

Registered at PO BOX 938, ROWLETT, TX 750300938 (Tel: 2142272457)

👤
Provider Name / Credentials Updated November 14, 2018

Recorded as JOHNNY STATON, LSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2018

Physician Assistant (License #SA00687 in TX)

NPI Profile Active April 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2017

Registered at 445 E FM 1382, 3-195, CEDAR HILL, TX 751046047 (Tel: 2149809437)

📍
Updated Business Mailing Address April 01, 2017

Registered at 445 E FM 1382, 3-195, CEDAR HILL, TX 751046047 (Tel: 2149809437)

👤
Provider Name / Credentials Updated April 01, 2017

Recorded as JOHNNY STATON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2017

Specialist/Technologist, Other (License #172929 in TX)

🟢
Initial NPI Registration & Enumeration April 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922530591
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2017
Last Update: April 25, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 938

Rowlett, TX 750300938

Phone: 2142272457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.