Active NPI
Gerard J Stanley Jr MD PC
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1790035954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GERARD J STANLEY JR MD PC
- Practice address
- 2255 S 132ND St
Omaha, NE 68144-2573 - Phone
- (402) 884-6700
- Fax
- (402) 884-6040
- NPI assigned
- Sep 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerard Joseph Stanley Jr., M.D.
- Title
- Owner
- Phone
- (402) 884-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2255 S 132ND St
Omaha, NE 68144-2573
Mailing address
2255 S 132ND St
Omaha, NE 68144-2573
Phone (402) 884-6700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026267000 | Medicaid | NE | |
| 1427139294 | Other | NE | BCBS NE |
| 1427139294 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1790035954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 S 132ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442573",
"telephone_number": "402-884-6700",
"fax_number": "402-884-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 S 132ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442573",
"telephone_number": "402-884-6700",
"fax_number": "402-884-6040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERARD J STANLEY JR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-884-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026267000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "1427139294",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427139294",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.