Stephen R Stanley DO Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1692 Issued in WV

Legal business name

STEPHEN R STANLEY DO INC

Practice address

1500 Grand Central Ave
Suite 106
Vienna, WV 26105-1079

Phone

(304) 422-6800

Fax

(304) 422-6900

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Stephen R Stanley, D.O.

Title

President

Phone

(304) 422-6800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1568762789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "SUITE 106",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-422-6800",
            "fax_number": "304-422-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "SUITE 106",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-422-6800",
            "fax_number": "304-422-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R STANLEY DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-422-6800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "1692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154225",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630128000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Sprouse
• Victoria Erin Spurr, FNP
• Annlee Staats
• John A Stavrakis, OD
• Melissa Jane Stavrakis, DPT, OCS
• Herlinda Stephens
• Lisa Stephens
• Timothy Shawn Stephens, OD
• Cassandra Stewart
• Emily Stewart

• Obstetrics & Gynecology Physician in Vienna, WV
• Providers in Vienna, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.