Active NPI
Gary E Stanley, M.D.
- Pediatrics Physician
- Monroe, LA
National Provider Identifier
1346249596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 022011
- Practice address
- 920 Oliver Rd
Suite 3
Monroe, LA 71201-5702 - Phone
- (318) 323-8824
- Fax
- (318) 323-8823
- NPI assigned
- Jul 19, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 022011 | LA | Primary |
Addresses
Primary practice location
920 Oliver Rd
Suite 3
Monroe, LA 71201-5702
Mailing address
PO Box 2927
Monroe, LA 71207-2927
Phone (318) 323-8824
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022011 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates, LLP | Past | Accepting new patients |
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.
-
- Pediatric Hospice and Palliative Medicine Physician
- Monroe, LA
- NPI 1144432204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346249596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2927",
"city": "MONROE",
"state": "LA",
"postal_code": "712072927",
"telephone_number": "318-323-8824",
"fax_number": "318-323-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 OLIVER RD",
"address_2": "SUITE 3",
"city": "MONROE",
"state": "LA",
"postal_code": "712015702",
"telephone_number": "318-323-8824",
"fax_number": "318-323-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "GARY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "022011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.