Thomas James Stancik Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS013318 Issued in PA

Practice address

100 Innovation Drive
Suite 101
Slippery Rock, PA 16057-0000

Phone

(724) 794-4023

Fax

(724) 794-3675

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

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 Osteopathy

State licenses

Practice roles

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

• Slippery Rock Family Medicine Center P.C.

  • Specialist
  • Slippery Rock, PA
  • NPI 1295750123

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1053535989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INNOVATION DRIVE",
            "address_2": "SUITE 101",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160570000",
            "telephone_number": "724-794-4023",
            "fax_number": "724-794-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNOVATION DRIVE",
            "address_2": "SUITE 101",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160570000",
            "telephone_number": "724-794-4023",
            "fax_number": "724-794-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIK",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2794933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1969259",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "707500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "703212",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019762660002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Slippery Rock VFC and Rescue Team
• Kevin Smyth, DMD
• Courtney Marie Snyder, LBS
• Apoorva Srivastava, D.O.
• Brittany Stamm, LSW
• Ashley Elizabeth Stroupe, CRNP
• Laurel Sutterfield, MA
• Jeffrey Tompkins, PT, DPT
• Tri Rivers Physicl Therapy, LLC
• Tri Rivers Surgical Associates, Inc.

• Family Medicine Physician in Slippery Rock, PA
• Providers in Slippery Rock, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.