DR. JEFFREY A STANLEY (NPI# 1336163765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336163765 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A STANLEY |
| Credential | M.D. |
| Practice Address |
4100 Warrensville Center Rd Ste 1002 Warrensville Heights OH 44122-7024 |
| Practice Telephone | 2169912600 |
| Practice Fax Number | 2169211389 |
| Mailing Telephone | 2169912600 |
| Mailing Fax Number | 2169211389 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
34-003520 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00066980 | 01 | |
| OH | 0696779 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194015594 | Jeffrey Vance Stanley | Dentist | 6465 N Palm Ave Ste 105, Fresno, CA 93704-1085 | 2011-04-19 |
| 1043284060 | Jeffrey Niel Stanley | Physical Therapist | 419 Town Mountain Rd Ste 108, Pikeville, KY 41501-1632 | 2006-02-15 |
| 1679066716 | Jeffrey Jerome Stanley Jr. | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-13 |
| 1083858849 | Jeffrey Peterson Stanley | Internal Medicine | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2009-04-23 |
| 1003838665 | Jeffrey John Stanley | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-07-24 |
| Street Address |
4100 WARRENSVILLE CENTER RD STE 1002 |
| City | WARRENSVILLE HEIGHTS |
| State | OH |
| Zip Code | 44122-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958703 | John J Mizenko | Internal Medicine | 4100 Warrensville Center Rd, Suite 203, Warrensville Heights, OH 44122-7024 | 2005-08-09 |
| 1598198004 | Plastic Surgery Institute of Ohio, LLC | Plastic Surgery | 4100 Warrensville Center Rd, Ste 101, Warrensville Heights, OH 44122-7024 | 2013-08-20 |
| 1194922518 | Amy Leigh Knowlton | Recreation Therapist | 4100 Warrensville Center Rd, Building A, 4th Floor, Warrensville Heights, OH 44122-7024 | 2007-06-29 |
| 1760686398 | Jared Christopher Storck | Surgery | 4100 Warrensville Center Rd, Suite 101, Warrensville Heights, OH 44122-7024 | 2007-06-14 |
| 1720108137 | Roger F. Classen, D.o., Inc. | Surgery | 4100 Warrensville Center Rd, Suite #101, Warrensville Heights, OH 44122-7024 | 2007-03-30 |
| 1871639146 | Cleveland Vascular Institute, LLC | Nurse Practitioner | 4100 Warrensville Center Rd, Suite 1002, Warrensville Heights, OH 44122-7024 | 2007-01-30 |
| 1316992944 | Meridia Medical Group, LLC | Specialist | 4100 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396043477 | Nicole Ramon | Surgery | 20000 Harvard Road, Warrensville Heights, OH 44122 | 2011-03-14 |
| 1669609756 | Lake Hospital System, Inc. | Surgery | 20050 Harvard Ave, Warrensville Heights, OH 44122-6816 | 2009-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
| 1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
| 1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
| 1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
| 1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
| 1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
| 1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
| 1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
| 1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSVILLE HEIGHTS |
| Zip Code | 44122 |
Please comment or provide details below to improve the information on DR. JEFFREY A STANLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.