Individual provider Active NPI

Stanley Dover, MD

  • Anesthesiology Physician
  • Gastonia, NC
National Provider Identifier
1346284262
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
200001119 Issued in NC
Practice address
2525 Court Drive
Gastonia, NC 28054
Phone
(704) 834-2000
NPI assigned
Jun 15, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 200001119 NC Primary

Addresses

Primary practice location

2525 Court Drive
Gastonia, NC 28054

Mailing address

PO Box 12845
Gastonia, NC 28052
Phone (704) 836-2825

Other identifiers 4

IdentifierTypeStateIssuer
P00171114OtherNCMEDICARE OTHER IDENTIFIER
N01113MedicaidSC
13649OtherNCBLUE CROSS
8913649MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001028 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7113998618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (980) 394-2000

2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140

2511 Court Dr
Gastonia, NC 28054-2140
Phone (704) 671-5600

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

2545 Court Dr
Gastonia, NC 28054-2140
Phone (704) 671-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Nov 1, 2015 Accepting new patients
Gaston Radiology PA CurrentSince Jan 1, 2014 Accepting new patients
Piedmont Interventional Pain Care, PA CurrentSince Feb 1, 2015 Accepting new patients
Pain Management Associates, P.a. Past Accepting new patients
Gaston Cardiac Anesthesis and Anesthesiology Past Accepting new patients
Gaston Cardiac Anethesis and Past Accepting new patients
Gaston Anesthesia Associates, P.a. Past Accepting new patients
Gaston Anesthesia Associates, P.a. Past Accepting new patients

Locations

2511 Court Dr
Gastonia, NC 28054
Phone (704) 671-5600

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378

640 Summit Crossing Pl
Ste 200
Gastonia, NC 28054
Phone (704) 671-5400

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

320 Jake Alexander Blvd W
Ste 103
Salisbury, NC 28147
Phone (704) 797-0065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACBAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1346284262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12845",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28052",
            "telephone_number": "704-836-2825",
            "fax_number": "704-866-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-834-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200001119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER IDENTIFIER",
            "identifier": "P00171114",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01113",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "13649",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913649",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.