NPIMap

Organization Active NPI

Stanly Medical Services

Doing business as Albemarle Surgical Associates

  • Surgery Physician
  • Albemarle, NC
National Provider Identifier
1285803304
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STANLY MEDICAL SERVICES
Doing business as
Albemarle Surgical Associates
Practice address
105 Yadkin St
Suite 203
Albemarle, NC 28001-3449
Phone
(704) 982-0161
Fax
(704) 982-2361
NPI assigned
Feb 22, 2008
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Marindy Bost Harris
Title
Manager Revenue Cycle
Phone
(704) 983-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

105 Yadkin St
Suite 203
Albemarle, NC 28001-3449

Mailing address

320 Yadkin St
Suite B
Albemarle, NC 28001-3447
Phone (704) 983-7320

Other identifiers 3

IdentifierTypeStateIssuer
020A2OtherNCBCBS
5909161MedicaidNC
2317250DOtherNCMCARE

Other names 1

  • Albemarle Surgical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1285803304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "SUITE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-983-7320",
            "fax_number": "704-983-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "SUITE 203",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "704-982-0161",
            "fax_number": "704-982-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARINDY",
        "authorized_official_middle_name": "BOST",
        "authorized_official_title_or_position": "MANAGER REVENUE CYCLE",
        "authorized_official_telephone_number": "704-983-7320"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "020A2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909161",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "2317250D",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albemarle Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.