Stanley a. Shatsky, M.D. a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G41499 Issued in CA

Legal business name

STANLEY A. SHATSKY, M.D. A PROFESSIONAL CORPORATION

Practice address

2550 Samaritan Dr Ste D
San Jose, CA 95124-4104

Phone

(408) 780-4745

Fax

(408) 709-2011

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Mark Baker

Title

Manager

Phone

(408) 780-4745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1780888107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3147",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940240147",
            "telephone_number": "408-780-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244104",
            "telephone_number": "408-780-4745",
            "fax_number": "408-709-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY A. SHATSKY, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-780-4745"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G41499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanford Employer Health Clinics
• Stanford Employer Health Clinics
• Theresa T Stang, CDE
• Stanislaus County
• Stanislaus County
• Stanley T Lee DDS
• Aliyah Stanley-Ibarra
• Ralph Hans Stanley, DDS
• Victoria Stanton
• Annie L Stapleton, MD

• Neurological Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.