Active NPI
Dustin Ross Stanley, D.O.
- Family Medicine Physician
- Farrell, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-12496
- Practice address
- 2200 Memorial Dr
Farrell, PA 16121-1357 - Phone
- (724) 981-3500
- NPI assigned
- Jun 24, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13518522-1204 | UT | |
| Surgery Physician | 208600000X | OT015216 | PA | |
| Family Medicine Physician | 207Q00000X | E-12496 | AR | Primary |
Addresses
Primary practice location
2200 Memorial Dr
Farrell, PA 16121-1357
Mailing address
2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-8346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5475 S 500
Ogden, UT 84405-6905
Phone (801) 783-5011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13518522-1204 | UT | MD | Family Medicine Physician |
| OT015216 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients |
Locations
5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
dba Utah Regional Hospitalists
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeview Hospital
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1265871131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 HAWKINS DR",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434802",
"telephone_number": "501-278-8346",
"fax_number": "501-278-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 MEMORIAL DR",
"city": "FARRELL",
"state": "PA",
"postal_code": "161211357",
"telephone_number": "724-981-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DUSTIN",
"middle_name": "ROSS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "13518522-1204",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT015216",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-12496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farrell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.
- 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.