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Deactivated NPI 1174563639 Deactivated / Inactive NPI Male Practitioner

Dr. Stanton Pyburn Champion , MD

Urology • Tyler, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanton Champion has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2006
NPI Deactivation Date January 22, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Stanton Champion, MD was a registered Urology practicing in Tyler, TX. Throughout an active medical career spanning 15 years, Dr. Champion provided care at the practice location at 700 OLYMPIC PLAZA CIR until profile deactivation on 2021-01-22.

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir
#700

Tyler, TX 757011951

Telephone 9032623900
Fax 9032623993
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Tyler, TX (1027 Statewide)

Telehealth Adoption Rate
5.3% 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX D6982

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1003263328

Doctor of Medicine (M.D.)

NPI 1013954809

Doctor of Medicine (M.D.)

NPI 1043250533

Doctor of Medicine (M.D.)

NPI 1083963334

Doctor of Medicine (M.D.)

NPI 1144269697

Doctor of Osteopathic Medicine (D.O.)

Paola Mwenentanda , NP

Nurse Practitioner

NPI 1285506295

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 22, 2021

Record deactivated on January 22, 2021

NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2013

Registered at 700 OLYMPIC PLAZA CIR, #700, TYLER, TX 757011951 (Tel: 9032623900)

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Updated Business Mailing Address August 14, 2013

Registered at 700 OLYMPIC PLAZA CIR, #700, TYLER, TX 757011951 (Tel: 9032623900)

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Provider Name / Credentials Updated August 14, 2013

Recorded as STANTON CHAMPION, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Urology (License #D6982 in TX)

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Initial NPI Registration & Enumeration June 06, 2006

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: 1174563639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: August 14, 2013
Deactivation Date: January 22, 2021

Mailing Address

700 Olympic Plaza Cir, #700

Tyler, TX 757011951

Phone: 9032623900

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.