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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120712000246 | WV | Practitioner - Family Practice | 7719013978 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13118 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056758000 | Medicaid | WV | |
| 0034320000 | Medicaid | WV |
NPI Registry JSON
{
"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
- Mary Ann Crawford
- Suzanne Crook
- Kevin Scott Davidson
- Roman Jackson Davidson
- Donna L Davis
- Tracey Ranee Dean
- Katrina B Deaver
- Jessica Dawn Donitzen
- Becky Sue Drozdowski
- Samuel Duncan
All providers in Hinton, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.