Stanley J. Travis, Jr, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS002173L Issued in PA

Legal business name

STANLEY J. TRAVIS, JR, D.O., P.C.

Practice address

501 Buckman Drive
Hatboro, PA 19040-1402

Phone

(215) 672-6877

Fax

(215) 672-6812

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stanley J Travis Jr., D.O.NPI 1902967797

Title

Pres

Phone

(215) 672-6877

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley J Travis Jr., DO

  • Family Medicine Physician
  • Hatboro, PA
  • NPI 1902967797
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1356669246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BUCKMAN DRIVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401402",
            "telephone_number": "215-672-6877",
            "fax_number": "215-672-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BUCKMAN DRIVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401402",
            "telephone_number": "215-672-6877",
            "fax_number": "215-672-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J. TRAVIS, JR, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "215-672-6877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002173L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00606544-01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Spevak, LCSW
• Victoria Spross, MA
• Nicole Stabene, PHARMD
• Stair Ride Company, Inc.
• Kathy Joanne Stanislaw, OTA
• Morgan Stehli
• Cassandra Stevens, MT-BC
• William Douglas Stoddart, PTA
• Heather L Stracco, P.T.
• Emily Strayer, M.S., LPC

• Family Medicine Physician in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.