Active NPI
Dirk Patrick Stanley, MD
- Anatomic Pathology & Clinical Pathology Physician
- Beckley, WV
National Provider Identifier
1255534814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 24725
- Practice address
- 306 Stanaford Rd
Beckley, WV 25801-3142 - Phone
- (304) 255-3000
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 24725 | WV | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | TP 553 | KY |
Addresses
Primary practice location
306 Stanaford Rd
Beckley, WV 25801-3142
Mailing address
306 Stanaford Rd
Beckley, WV 25801-3142
Phone (304) 255-3000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP 553 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- Hinton, WV
- NPI 1104941335
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1255534814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 STANAFORD RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013142",
"telephone_number": "304-255-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 STANAFORD RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013142",
"telephone_number": "304-255-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DIRK",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WV",
"license": "24725",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "TP 553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.