Individual provider Active NPI

Ryan Tom Stanley, AUD

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1265123087
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81509 Issued in TX
Practice address
2632 Broadway St Ste 102S
San Antonio, TX 78215-1138
Phone
(210) 451-0373
Fax
(210) 451-0368
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81509 TX Primary

Addresses

Primary practice location

2632 Broadway St Ste 102S
San Antonio, TX 78215-1138

Mailing address

2632 Broadway St Ste 102S
San Antonio, TX 78215-1138
Phone (210) 451-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925001414 TX Practitioner - Qualified Audiologist 4486008448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates of Audiology LLCGroup PAC ID 4789816307, 5 clinicians

Practice addresses (Care Compare)

2632 Broadway St
Suite 102S
San Antonio, TX 78215-1138
Phone (210) 451-0373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81509TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates of Audiology LLC Audiologist CurrentSince Sep 11, 2023 Accepting new patients

Locations

2632 Broadway St
Ste 102S
San Antonio, TX 78215
Phone (201) 451-0373

1202 E Sonterra Blvd
Ste 302
San Antonio, TX 78258
Phone (210) 334-0245

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1265123087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST STE 102S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151138",
            "telephone_number": "210-451-0373",
            "fax_number": "210-451-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST STE 102S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151138",
            "telephone_number": "210-451-0373",
            "fax_number": "210-451-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "RYAN",
        "middle_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.