Stanbro Healthcare Group LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

27353 Issued in OK

Legal business name

STANBRO HEALTHCARE GROUP LLC

Practice address

2000 E 15TH St
Suite 400-a
Edmond, OK 73013-6697

Phone

(617) 899-4945

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Peter Stanbro

Title

Partner/Owner

Phone

(617) 899-4945

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Destiny L Rose, PA-C

  • Medical Physician Assistant
  • Edmond, OK
  • NPI 1588264402
  NPD (past)

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1942592886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "SUITE 400-A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "SUITE 400-A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136697",
            "telephone_number": "617-899-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANBRO HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "STANBRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "617-899-4945"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "27353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Stafford, LPC
• Sarah Jean Saxon Stafford, BCBA
• Skyler Christine Stagner
• Micah Jo Stall
• James L Stammer, M.D.
• Stanbro Healthcare Group LLC
• Peter B Stanbro, M.D., M.P.H
• Malinda Rachele Standley
• Stanley a Horst MD PC
• Aubrey Stanley, PTA

• Child & Adolescent Psychiatry Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.