Individual provider Active NPI

Mark Willard Stanley, D.O.

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1528038494
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34-00-7528S Issued in OH
Practice address
793 W State St
Columbus, OH 43222-1551
Phone
(614) 552-0061
Fax
(614) 552-0168
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34-00-7528S OH Primary

Addresses

Primary practice location

793 W State St
Columbus, OH 43222-1551

Mailing address

12941 Stonecreek Dr
Unit a
Pickerington, OH 43147-8424
Phone (614) 552-0061

Other identifiers 1

IdentifierTypeStateIssuer
2374194MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000287 OH Practitioner - Anesthesiology 3577525310 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Columbus Suboxone Doctors LLCGroup PAC ID 8921341256, 4 clinicians

Practice addresses (Care Compare)

3225 Sullivant Ave
Columbus, OH 43204-1837
Phone (614) 655-8956

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Ohio LLC Anesthesiology CurrentSince Jan 2, 2019 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 15, 2025 Accepting new patients
Radius Anesthesia of Ohio, LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Arlington Anesthesia Partners LLC Anesthesiology CurrentSince May 18, 2024 Accepting new patients
Mask Anesthesia Consultants Inc Anesthesiology CurrentSince Aug 1, 2014 Accepting new patients
Columbus Anesthesia Services LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Columbus Suboxone Doctors LLC CurrentSince Aug 1, 2019 Accepting new patients
Licking Memorial Professional Corporation Anesthesiology Past Accepting new patients
Grady Anesthesia Services, Inc Past Accepting new patients
Healthworks, LLC Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400

3219 Sullivant Ave
Columbus, OH 43204
Phone (614) 272-5244

3225 Sullivant Ave
Columbus, OH 43204
Phone (614) 655-8956

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

5300 N Meadows Dr
Ste M
Grove City, OH 43123

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

6520 W Campus Oval
New Albany, OH 43054
Phone (614) 413-2233

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528038494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12941 STONECREEK DR",
            "address_2": "UNIT A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478424",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MARK",
        "middle_name": "WILLARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34-00-7528S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.