Linda K Stanley MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301043549 Issued in MI

Legal business name

LINDA K STANLEY MD PLLC

Practice address

9 S Saint Joseph Ave
Niles, MI 49120-2846

Phone

(269) 684-8100

Fax

(269) 684-8261

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Linda K Stanley, MDNPI 1407968928

Title

Sole Proprietor

Phone

(269) 684-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Linda K Stanley, M.D.

  • Family Medicine Physician
  • Niles, MI
  • NPI 1407968928
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962625822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202846",
            "telephone_number": "269-684-8100",
            "fax_number": "269-684-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202846",
            "telephone_number": "269-684-8100",
            "fax_number": "269-684-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA K STANLEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "269-684-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301043549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0801106781",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4409718",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Leffler
• Lois G Lello, MD
• Stacy Lenoir
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• Anna Margartet Linstromberg, DPT
• Michel Dale Listenberger, O.D.
• Ricki A Loenser, CRNA
• Sarah E Long, MSW, LSCW
• Longevity Counseling Services, LLC

• Family Medicine Physician in Niles, MI
• Providers in Niles, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.