Individual provider Active NPI

Mary Armstrong Stanley, MD

  • Surgical Oncology Physician
  • South Burlington, VT
National Provider Identifier
1932124286
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
0420009691 Issued in VT
Practice address
1775 Williston Rd
Suite 108
South Burlington, VT 05403-6491
Phone
(802) 497-3370
Fax
(802) 497-0816
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 0420009691 VT Primary

Addresses

Primary practice location

1775 Williston Rd
Suite 108
South Burlington, VT 05403-6491

Mailing address

1775 Williston Rd
Suite 108
South Burlington, VT 05403-6491
Phone (802) 497-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20050113000090 VT Practitioner - General Surgery 0244289619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Warren Alpert Medical School of Brown University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary a. Stanley, MD PCGroup PAC ID 8426123266, 2 clinicians

Practice addresses (Care Compare)

1775 Williston Rd
Suite 108
South Burlington, VT 05403-6491
Phone (802) 497-3370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
51.62 of 100Reported as group
Quality
60.39
Improvement activities
0
Cost
91.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420009691VTMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Breast Care, PC Surgery CurrentSince Jul 1, 2008 Accepting new patients

Locations

1775 Williston Rd
Ste 108
South Burlington, VT 05403
Phone (802) 497-3370

Interoperability endpoints

  • Direct secure messaging: mary.stanley.1@8464.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1932124286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 WILLISTON RD",
            "address_2": "SUITE 108",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036491",
            "telephone_number": "802-497-3370",
            "fax_number": "802-497-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WILLISTON RD",
            "address_2": "SUITE 108",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036491",
            "telephone_number": "802-497-3370",
            "fax_number": "802-497-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MARY",
        "middle_name": "ARMSTRONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VT",
            "license": "0420009691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.