NPIMap

Organization Active NPI

Stanly Medical Services

Doing business as Stanly Pediatric Services

  • Pediatrics Physician
  • Albemarle, NC
National Provider Identifier
1437130754
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STANLY MEDICAL SERVICES
Doing business as
Stanly Pediatric Services
Practice address
105 Yadkin St
Ste 303
Albemarle, NC 28001-3449
Phone
(704) 982-2683
Fax
(704) 982-2744
NPI assigned
Nov 14, 2005
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Marindy Bost Harris
Title
Manager Revenue Cycle
Phone
(704) 983-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

105 Yadkin St
Ste 303
Albemarle, NC 28001-3449

Mailing address

320 Yadkin St
Ste B
Albemarle, NC 28001-3447
Phone (704) 983-7320

Other names 1

  • Stanly Pediatric Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanly Medical Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Yadkin St
Albemarle, NC 28001

105 Yadkin St
Ste 303
Albemarle, NC 28001
Phone (704) 982-2683

320 Yadkin St
Ste B
Albemarle, NC 28001
Phone (704) 983-7320

9625 Northcross Center Ct
Huntersville, NC 28078
Phone (704) 801-3450

447 McAlister Rd
Lincolnton, NC 28092
Phone (704) 732-3266

3173 W Highway 74
Monroe, NC 28110
Phone (704) 283-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1437130754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "STE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-983-7320",
            "fax_number": "704-983-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "STE 303",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "704-982-2683",
            "fax_number": "704-982-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARINDY",
        "authorized_official_middle_name": "BOST",
        "authorized_official_title_or_position": "MANAGER REVENUE CYCLE",
        "authorized_official_telephone_number": "704-983-7320"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanly Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.