Active NPI
Karen A Stanley, DPM
- Foot & Ankle Surgery Podiatrist
- North Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005505-1
- Practice address
- 514 S Bay Rd
North Syracuse, NY 13212-3627 - Phone
- (315) 458-1777
- Fax
- (315) 458-9661
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N005505-1 | NY | Primary |
Addresses
Primary practice location
514 S Bay Rd
North Syracuse, NY 13212-3627
Mailing address
514 S Bay Rd
North Syracuse, NY 13212-3627
Phone (315) 458-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01969286 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 E 2ND St
Oswego, NY 13126-2625
Phone (315) 532-6600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.81 of 100
- Quality
- 77.26
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 147 |
| Removal of skin lesions | 36 |
| Removal of nail tissue | 1124 |
| Removal or shaving of skin growth | 799 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005505 | NY | MD | Acupuncturist |
| N005505-1 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Podiatry Center LLP | Foot & Ankle Surgery | Current | Accepting new patients |
| Loretto Rest Realty Corporation | Past | Accepting new patients |
Locations
5104 W Genesee St
Fl 1
Camillus, NY 13031
Phone (315) 701-3348
7458 Oswego Rd
Liverpool, NY 13090
Phone (315) 546-0285
130 E 2nd St
Oswego, NY 13126
Phone (315) 532-6600
27 Fennell St
Ste 2
Skaneateles, NY 13152
Phone (315) 685-3338
Interoperability endpoints
- karenstanley@westsidepodiatry.medentdirect.com
Organizations & group practices 2
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.
-
dba Skaneateles Foot & Ankle Center
- Foot Surgery Podiatrist
- Liverpool, NY
- NPI 1982660809
Foot & Ankle Surgery
-
- Clinic/Center
- Syracuse, NY
- NPI 1548366271
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1659358828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 S BAY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123627",
"telephone_number": "315-458-1777",
"fax_number": "315-458-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S BAY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123627",
"telephone_number": "315-458-1777",
"fax_number": "315-458-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "KAREN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N005505-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01969286",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.