Timothy Jack Stansbury, R.T. (R)

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

376828 Issued in MO

Practice address

915 N Grand Blvd
Saint Louis, MO 63106-1621

Phone

(314) 652-4100

NPI assigned

Dec 31, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1104001833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PEARL DR",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505032",
            "telephone_number": "636-797-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-652-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "TIMOTHY",
        "middle_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "R.T. (R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MO",
            "license": "376828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Millicent Stanley, APRN
• Samuel Leonard Stanley Jr., MD
• Jennifer A Stann, PNP
• Rebecca Stann, R.N., B.S.N.
• Lee Stansberry, MA, PLPC, NCC
• Josiah Stanton, MAC, LPC
• Tiffany Suzanne Stanton, OTR
• Jennifer Stanuch, LCSW
• Bryant Staples, M.D.
• Halley Staples, MD

• Radiography Radiologic Technologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Radiography Radiologic Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.