Active NPI
Scott J Stanley, MD
- Anatomic Pathology & Clinical Pathology Physician
- Norfolk, VA
National Provider Identifier
1346208899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101050398
- Practice address
- 600 Gresham Dr
Sentara Norfolk Gen Hospital Pathology Dept
Norfolk, VA 23507-1904 - Phone
- (757) 388-3221
- Fax
- (757) 388-3799
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101050398 | VA | Primary |
Addresses
Primary practice location
600 Gresham Dr
Sentara Norfolk Gen Hospital Pathology Dept
Norfolk, VA 23507-1904
Mailing address
PO Box 20452
PSMG-Cred
Columbus, OH 43220-0452
Phone (614) 442-2406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6605885 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101050398 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1346208899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "PSMG-CRED",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-442-2406",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"address_2": "SENTARA NORFOLK GEN HOSPITAL PATHOLOGY DEPT",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3221",
"fax_number": "757-388-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "SCOTT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101050398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6605885",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.