Individual provider Active NPI

John M Stanley, M.D.

  • Family Medicine Physician
  • Silver City, NM
National Provider Identifier
1710982525
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93-161 Issued in NM
Practice address
1007 N Pope St
HMS Community Health Center
Silver City, NM 88061-5161
Phone
(575) 388-1511
Fax
(575) 542-2388
NPI assigned
Jun 17, 2005
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93-161 NM Primary

Addresses

Primary practice location

1007 N Pope St
HMS Community Health Center
Silver City, NM 88061-5161

Mailing address

530 Demoss Street
Hidalgo Medical Services
Lordsburg, NM 88045-2618
Phone (575) 542-8384

Other identifiers 1

IdentifierTypeStateIssuer
F8253MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090331000240 NM Practitioner - Family Practice 9133141096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Regional Medical CenterGroup PAC ID 9931006319, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

1264 E 32ND St
Lamontana PLZ Gila Surg Ser
Silver City, NM 88061-7951
Phone (575) 538-4187

1302 E 32ND St Lamontana PLZ
Gila Card/Gila Pain
Silver City, NM 88061-7951
Phone (575) 538-4112

3185 N Leslie Rd
Gila Family Medicine
Silver City, NM 88061-7951
Phone (575) 534-0400

3185 N Leslie Rd
Gila Regional Pediatrics
Silver City, NM 88061-7211
Phone (575) 534-0400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Regional Medical Center CurrentSince Apr 4, 2015 Accepting new patients
Gila Regional Medical Center Current Accepting new patients
Gila Regional Medical Center Family Medicine CurrentSince Apr 4, 2015 Accepting new patients
Southwest Family Medicine, PC Family Medicine PastSince Apr 17, 1995 Accepting new patients

Locations

1260 E 32nd St
Silver City, NM 88061
Phone (505) 388-1561

1302 E 32nd St
Ste B
Silver City, NM 88061

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

3185 N Leslie Rd
Silver City, NM 88061
Phone (505) 388-3393

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.stanley.1@12922.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1710982525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEMOSS STREET",
            "address_2": "HIDALGO MEDICAL SERVICES",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N POPE ST",
            "address_2": "HMS COMMUNITY HEALTH CENTER",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615161",
            "telephone_number": "575-388-1511",
            "fax_number": "575-542-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "93-161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F8253",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.