Vicki Lee Stancil, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

C6670 Issued in AR

Practice address

1475 Hogan LN
Suite #121
Conway, AR 72034-8287

Phone

(501) 327-3344

Fax

(501) 327-2998

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891702205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HOGAN LN",
            "address_2": "SUITE #121",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348287",
            "telephone_number": "501-327-3344",
            "fax_number": "501-327-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HOGAN LN",
            "address_2": "SUITE #121",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348287",
            "telephone_number": "501-327-3344",
            "fax_number": "501-327-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIL",
        "first_name": "VICKI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AR",
            "license": "C6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Stafford, PH D
• Kelly A Staley, MD
• Kimberly Staley, MS CCC-SLP
• Camden Stallard
• Stancil Raney Medicine PA
• Elizabeth Standage, LAC
• Hannah Standage, LAC
• Jana Marie Standfill
• Piper Standridge
• Ellen Stanfield

• Adult Medicine Physician in Conway, AR
• Providers in Conway, AR by specialty
• Adult Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.