DR. KENNETH E STANLEY (NPI# 1518984137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518984137 |
Entity Type | Individual |
Full Name | DR. KENNETH E STANLEY |
Credential | MD |
Practice Address |
1220 E Elm St Ste 101 Lima OH 45804-2803 |
Practice Telephone | 4192280570 |
Practice Fax Number | 4192280943 |
Mailing Telephone | 4192280570 |
Mailing Fax Number | 4192280943 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-03-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 057809 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0989757 | 05 | |
ANTHEM | 000000027893 | 01 | |
RAILROAD MEDICARE | 340008614 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962498337 | Kenneth Jermaine Stanley | Family Medicine | 10100 Broadway St, Suite 110, Pearland, TX 77584-8425 | 2005-09-21 |
1942230289 | Kenneth Stanley | Nurse Anesthetist, Certified Registered | 1199 Prince Ave, Athens, GA 30606-2797 | 2006-07-03 |
Street Address |
1220 E ELM ST STE 101 |
City | LIMA |
State | OH |
Zip Code | 45804-2803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306838867 | Rhonda J Medina | Obstetrics & Gynecology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2005-08-19 |
1811427586 | Lima Memorial Professional Corporation | Obstetrics & Gynecology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2017-06-15 |
1891830543 | Debra D Newton | Advanced Practice Midwife | 1220 E Elm St Ste 101, Lima, OH 45804 | 2007-02-20 |
1659396612 | Amy L Smith | Midwife | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2006-07-12 |
1063464873 | Marjorie Ann Demund | Obstetrics & Gynecology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
Find all providers in zip 45804 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508891151 | Roque Equia Teruel | Urology | 825 West Market St, Ste 304, Lima, OH 45805-2789 | 2006-07-12 |
1821074162 | Russell J Taylor | Urology | 770 West High Street, Suite 350, Lima, OH 45801-5901 | 2005-12-19 |
1982234126 | Joseph Brautigam | Urology | 770 W High St Ste 350, Lima, OH 45801-5901 | 2020-01-15 |
1023497807 | Lima Memorial Professional Corporation | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2015-05-26 |
1568754661 | Mwafa Turjman | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2011-05-06 |
1548565385 | Oussama Darwish | Urology | 770 W High St, Ste 350, Lima, OH 45801-3990 | 2011-01-25 |
1053562033 | Ks Urology Inc | Urology | 1220 E Elm St, Suite 101, Lima, OH 45804-2850 | 2008-10-08 |
1992916316 | Lima Urology Inc | Urology | 770 West High Street, Suit 350, Lima, OH 45801-5901 | 2007-05-25 |
1750489670 | Stephen D Lipson | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-09-21 |
1861504185 | Kamrooz Sanii | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-08-31 |
Find all providers in LIMA |
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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.