Active NPI
Garrit E Stanley, MD
- Specialist
- Arlington, WA
National Provider Identifier
1518098292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00009059
- Practice address
- 3131 Smokey Point Dr Ste J
Arlington, WA 98223-7707 - Phone
- (360) 653-5960
- Fax
- (360) 653-4743
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00009059 | WA | Primary |
Addresses
Primary practice location
3131 Smokey Point Dr Ste J
Arlington, WA 98223-7707
Mailing address
3131 Smokey Point Dr Ste J
Arlington, WA 98223-7707
Phone (360) 653-5960
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R23416 | Other | WA | REGENCE RIDER NO |
| 0067046 | Other | WA | L AND I PROVIDER NO |
| 1831205 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00009059 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Diagnostic Specialties, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Medicine Clinic/Center
- Arlington, WA
- NPI 1467512293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518098292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 SMOKEY POINT DR STE J",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982237707",
"telephone_number": "360-653-5960",
"fax_number": "360-653-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 SMOKEY POINT DR STE J",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982237707",
"telephone_number": "360-653-5960",
"fax_number": "360-653-4743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "GARRIT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00009059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NO",
"identifier": "R23416",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I PROVIDER NO",
"identifier": "0067046",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831205",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.