NPIMap

Individual provider Active NPI

John G. Stansbury, M.D.

  • Emergency Medicine Physician
  • Ridgeley, WV
National Provider Identifier
1023017027
Registry record updated Nov 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15011 Issued in WV
Practice address
11 Hunt Club PLZ
Ridgeley, WV 26753-5213
Phone
(304) 726-4501
Fax
(304) 726-4051
NPI assigned
Jul 20, 2005
Last updated
Nov 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D23765 MD
Emergency Medicine Physician 207P00000X 15011 WV Primary

Addresses

Primary practice location

11 Hunt Club PLZ
Ridgeley, WV 26753-5213

Mailing address

11 Hunt Club PLZ
Ridgeley, WV 26753-5213
Phone (304) 726-4501

Other identifiers 5

IdentifierTypeStateIssuer
E458 0008OtherDCBLUE CHOICE
0049933000MedicaidWV
A052JG 42142702OtherMDCARE FIRST BC BS
000508728OtherWVMT. STATE BC BS
930010527OtherTRAVELERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Highlands Pathology Associates PA Current Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258761600000",
    "number": "1023017027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HUNT CLUB PLZ",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267535213",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HUNT CLUB PLZ",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267535213",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "JOHN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2009-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D23765",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "15011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "E458 0008",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049933000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC BS",
            "identifier": "A052JG   42142702",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE BC BS",
            "identifier": "000508728",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "930010527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.