STANLY MEDICAL SERVICES (NPI# 1821079963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079963 |
| Entity Type | Organization |
| Organization Name | STANLY MEDICAL SERVICES |
| Other Organization Name | STANLY PEDIATRIC SERVICES AT LOCUST |
| Practice Address |
103 Stanly Pkwy Ste A Locust NC 28097-7704 |
| Mailing Address |
320 Yadkin St Ste B Albemarle NC 28001-3447 |
| Practice Telephone | 7048888445 |
| Practice Fax Number | 7048888456 |
| Mailing Telephone | 7049820639 |
| Mailing Fax Number | 7049836153 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS SCOTT FORTH (CEO) |
| Authorized Official Telephone | 7049838756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015PK | 05 |
| Other Name | Type Code |
|---|---|
| Stanly Pediatric Services at Locust | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194006320 | Stanly Medical Services | Nurse Practitioner | 48380 Us Hwy 52 North, Misenheimer, NC 28109-9800 | 2011-09-01 |
| 1033191218 | Stanly Medical Services | Internal Medicine | 929 N 2nd St, Suite 205, Albemarle, NC 28001-3363 | 2005-11-15 |
| 1902887045 | Stanly Medical Services | Family Medicine | 269 S Main St, Norwood, NC 28128-6435 | 2005-11-07 |
| 1073594115 | Stanly Medical Services | Family Medicine | 243 Highway 49 N, Richfield, NC 28137-5731 | 2005-11-07 |
| 1750362802 | Stanly Medical Services | Pediatrics | 835 Albemarle Rd, Troy, NC 27371-8682 | 2005-11-07 |
| 1215274758 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite C, Locust, NC 28097-7710 | 2013-01-03 |
| 1174812507 | Stanly Medical Services | Internal Medicine | 923 N 2nd St, Suite 204, Albemarle, NC 28001-3317 | 2011-04-06 |
| 1821325010 | Stanly Medical Services | Family Medicine | 320 Yadkin St, Suite B, Albemarle, NC 28001-3447 | 2009-11-09 |
| 1588898480 | Stanly Medical Services | Internal Medicine | 929 N 2nd St, Suite 201, Albemarle, NC 28001-3363 | 2009-05-06 |
| 1285803304 | Stanly Medical Services | Surgery | 105 Yadkin St, Suite 203, Albemarle, NC 28001-3449 | 2008-02-22 |
| Street Address |
103 STANLY PKWY STE A |
| City | LOCUST |
| State | NC |
| Zip Code | 28097-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619371697 | Carolinas Physicians Network, Inc. | Family Medicine | 103 Stanly Pkwy, Suite A, Locust, NC 28097-7710 | 2014-10-20 |
| 1215274758 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite C, Locust, NC 28097-7710 | 2013-01-03 |
| 1124294194 | West Stanly Imaging LLC | Physiological Laboratory | 103 Stanly Pkwy, Suite E, Locust, NC 28097-7704 | 2008-04-30 |
| 1073594305 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite B, Locust, NC 28097-7704 | 2005-11-14 |
| 1871574921 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite A, Locust, NC 28097-7710 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477906063 | Amanda Tucker Queen | Massage Therapist | 117 Renee Ford Rd, Locust, NC 28097 | 2016-07-19 |
| 1184841280 | Community Pharmacy of Locust LLC. | Durable Medical Equipment & Medical Supplies | 236 Market Street, Suite 100, Locust, NC 28097 | 2007-04-19 |
| 1417160177 | Jason E. Martin, Dds, Pa | Dentist | 236 Market Street, Suite 200, Locust, NC 28097 | 2007-05-08 |
| 1558487991 | First Care Medical Clinic | Pediatrics | 210 West Main Street, Locust, NC 28097 | 2007-03-21 |
| 1639778905 | Intentional Growth Behavioral Health Services, Pllc | Social Worker | 544 Contentment Dr, Locust, NC 28097-0045 | 2020-10-19 |
| 1356575005 | Raymond Ross Perez | Family Medicine | 236 Market St Ste 110, Locust, NC 28097-1312 | 2009-05-11 |
| 1356358576 | Robert Lee Seymour | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2006-08-01 |
| 1639618713 | Wael Zeitouni, Dds, Pllc | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2017-02-22 |
| 1912131384 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1876 Main St W, Locust, NC 28097-7700 | 2009-05-13 |
| 1093926503 | Jan Gail Hardcopf -bickley | Occupational Therapist | 1800 Main St W, Locust, NC 28097-7700 | 2007-05-25 |
| Find all providers in zip 28097 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558487991 | First Care Medical Clinic | Pediatrics | 210 West Main Street, Locust, NC 28097 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
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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.