Stanley W Buck MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

STANLEY W BUCK MD PC

Doing business as

Renal Consultants

Practice address

11125 Dunn Rd
Suite 304
Saint Louis, MO 63136-6132

Phone

(314) 355-1166

Fax

(314) 355-9179

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Stanley Buck, MDNPI 1740251198

Title

Physician/Owner

Phone

(314) 355-1166

Specialties & licenses 1

Addresses

Other names 1

• Renal Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley W Buck, MD

  • Nephrology Physician
  • St Louis, MO
  • NPI 1740251198
  Medicare reassignment Care Compare group Authorized official
• Mia Sing

  • Family Nurse Practitioner
  • Granite City, IL
  • NPI 1629560297

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1710156088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD STE 411",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-1166",
            "fax_number": "314-355-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-1166",
            "fax_number": "314-355-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY W BUCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "314-355-1166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Alexandra Stanage, MD
• William L Stanfield
• Rebecca Elizabeth Stang, CNM
• Linda Sue Stangl, P.T.
• Angeline A Stanislaus, MD
• Amie Pannier Stanley, CGC
• Carla Stanley
• Chad Austin Stanley, MD
• Deidre Laroyce Stanley, LCSW
• Ellen Stanley

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.