MR. SCOTT ROBERT STANSBURY (NPI# 1649243817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649243817 |
| Entity Type | Individual |
| Full Name | MR. SCOTT ROBERT STANSBURY |
| Credential | MA, ATC, LAT |
| Practice Address |
University of Notre Dame Athletics Sports Medicine Room C113 Joyce Center Notre Dame IN 46556 |
| Mailing Address |
412 University Park Ct Mishawaka IN 46545-1236 |
| Practice Telephone | 5746313301 |
| Practice Fax Number | 5746313305 |
| Mailing Telephone | 5743403089 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 36001465A | IN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
UNIVERSITY OF NOTRE DAME ATHLETICS SPORTS MEDICINE ROOM C113 JOYCE CENTER |
| City | NOTRE DAME |
| State | IN |
| Zip Code | 46556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1255736849 | Katie Bourbonnais | Specialist/Technologist | Saint Mary's College, Angela Athletic Facility, Notre Dame, IN 46556 | 2014-10-26 |
| 1871882951 | April Lynn Henry | Nurse Practitioner | 19074 Douglas Road, Holy Cross House Clinic, Notre Dame, IN 46556 | 2011-03-29 |
| 1275787418 | Kathryn L Wojcik | Nurse Practitioner | 159 Angela Athletic and Wellness Complex, Notre Dame, IN 46556 | 2008-11-14 |
| 1316072366 | James Michael Moriarity | Neuromusculoskeletal Medicine, Sports Medicine | 1842 Moreau Drive, Notre Dame, IN 46556 | 2007-02-22 |
| 1174550677 | Alicia Marie Roane | Specialist/Technologist | University of Notre Dame, C113 Joyce Center - Sports Medicine, Notre Dame, IN 46556 | 2006-06-28 |
| 1760425391 | Holy Cross Village At Notre Dame, Inc. | Skilled Nursing Facility | 54515 State Road 933, Notre Dame, IN 46556 | 2006-06-13 |
| 1497743892 | Anthony Farmer Sutton | Specialist/Technologist | C113 Joyce Center, Sports Medicine, Notre Dame, IN 46556 | 2005-10-10 |
| 1689662496 | Kathryn Marie Cox Cohoon | Family Medicine | St Liam Hall, University Health Services, University of Notre Dame, Notre Dame, IN 46556 | 2005-10-06 |
| 1598232043 | Nicole Gatti | Pharmacist | 100 Wellness Center, Notre Dame, IN 46556 | 2018-11-01 |
| Find all providers in zip 46556 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354107 | Matthew Cantrell | Specialist/Technologist, Other | 6567 Whitestown Pkwy, Zionsville, IN 46077-7621 | 2018-11-05 |
| 1750826905 | Courtney East | Specialist/Technologist, Other | 14811 Dorset Dr, Noblesville, IN 46062-4682 | 2016-12-27 |
| 1285046664 | Timothy Slabaugh | Specialist/Technologist, Other | 4851 Deer Ridge Dr S, Carmel, IN 46033-8910 | 2014-05-20 |
| 1679855084 | Joe Gutzwiller | Specialist/Technologist, Other | 6166 Deerwood Ct, Greenwood, IN 46143-9161 | 2011-09-12 |
| 1124309141 | Ashley Stegner | Specialist/Technologist, Other | 110 Hillside Cir, Charlestown, IN 47111-1007 | 2011-09-03 |
| 1932700572 | Kacey Nicole Kaelin | Specialist/Technologist, Other | 1100 E 5th St, Anderson, IN 46012-3495 | 2020-11-02 |
| 1053938910 | Deonadre Sanders Sr. | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-06-26 |
| 1366089401 | Jessyca Mecole Batiest | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1518504653 | Angela Malone | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1942847082 | Angenean James | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
| City | NOTRE DAME |
| Zip Code | 46556 |
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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.