Stanley Tyler Day, M. D.

Individual provider Active NPI Family Medicine Physician · Hinton, WV

NPI 1346355872 · NPPES record last updated Aug 21, 2012

Key facts

NPI
1346355872
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
13118 (WV)
Practice address
197 Pleasant St
Hinton, WV 25951-2540
Phone
(304) 466-2501
Fax
(304) 466-2513
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120712000246 WV Practitioner - Family Practice 7719013978 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13118WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc Family Medicine Current Accepting new patients
Appalachian Regional Healthcare, Inc. Current
since Oct 23, 2016
Accepting new patients
Appalachian Regional Healthcare, Inc Current
since Jan 1, 2020
Accepting new patients
Appalachian Regional Healthcare, Inc Current
since Oct 23, 2016
Accepting new patients
John Cook Leasing Co., LLC Past Accepting new patients

Locations

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

301 Madison St
Hinton, WV 25951
Phone (304) 466-2501

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13118 WV Yes

Addresses

Primary practice location

197 Pleasant St
Hinton, WV 25951-2540

Mailing address

PO Box 179
Nimitz, WV 25978-0179
Phone (304) 466-2501

Other identifiers

IdentifierTypeStateIssuer
0056758000MedicaidWV
0034320000MedicaidWV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2012.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1346355872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "NIMITZ",
            "state": "WV",
            "postal_code": "259780179",
            "telephone_number": "304-466-2501",
            "fax_number": "304-466-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PLEASANT ST",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512540",
            "telephone_number": "304-466-2501",
            "fax_number": "304-466-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "STANLEY",
        "middle_name": "TYLER",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "13118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056758000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034320000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

All providers in Hinton, WV · Family Medicine Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.