David L Stanbery, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35047100 Issued in OH

Practice address

388 E Howard St
Willard, OH 44890-1656

Phone

(419) 935-8120

NPI assigned

Jan 17, 2006

Last updated

May 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1003896168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 E HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901656",
            "telephone_number": "419-935-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 E HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901656",
            "telephone_number": "419-935-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANBERY",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35047100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020000971",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480055",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Todd Schell, M.D.
• Richard Schumann, LPN
• Connor John Shivers
• Jeffrey Eugene Sizemore III, D.O.
• Miranda Slone, EDD
• Alisha Marie Stephens
• Stacia Stieber, M.S. CF-SLP
• Malinda Thomas Vickery, CDCA
• Jessica Lynn Thompson, LPN
• Trilogy Healthcare of Huron, LLC (The Willows at Willard)

• Surgery Physician in Willard, OH
• Providers in Willard, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.