Stanley L Grabias Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD12376E Issued in PA

Practice address

2201 Ridgewood Rd
Suite 200
Wyomissing, PA 19610-1189

Phone

(610) 375-6226

Fax

(610) 375-6200

NPI assigned

Oct 25, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in PA

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1245314103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-375-6226",
            "fax_number": "610-375-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-375-6226",
            "fax_number": "610-375-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIAS",
        "first_name": "STANLEY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD12376E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730278",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaishla Gonzalez
• Kevin C Gordon, M.D.
• Amanda Lynn Gosling, M.D.
• Jillian Gosselin, LSW
• Ina Gould, MS, MED
• Barry E Graham, MD
• Kevin K Grauer, ATC,CSCS
• Valkyri W Graul
• Johanna Ruth Graves, PT
• Gabrielle G Gravitt

• Specialist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.