JOHN R STANLEY


Address: 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-5127
Phone: 2156622737

JOHN R STANLEY (NPI# 1982629556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982629556
Entity Type Individual
Full Name JOHN R STANLEY
Credential MD
Practice Address 3400 Civic Center Blvd
1-330s Perelman Center
Philadelphia
PA 19104-5127
Mailing Address 421 Curie Blvd
100 Brb
Philadelphia
PA 19104-4863
Practice Telephone 2156622737
Practice Fax Number 2156153424
Mailing Telephone 2158983240
Enumeration Date 2006-07-13
Last Update Date 2015-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD054336L PA Allopathic & Osteopathic Physicians
N 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
MD054336L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 00163494600Z 05

Other Providers JOHN STANLEY

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1093021453 John Clifford Stanley Licensed Practical Nurse 513 High Street, Pleasant City, OH 43772 2010-08-24
1750454807 John H Stanley Family Medicine 105 Spruce Street, Drawer B, Woodland, NC 27897-0447 2006-11-16
1659397677 John Robert Stanley IIi Obstetrics & Gynecology 4140 W. Memorial Rd, Ste 321, Oklahoma City, OK 73120-8300 2006-07-14
1285670067 John G Stanley Dentist 2331 Tyler Pkwy, Suite 4, Bismarck, ND 58503-0871 2006-06-21
1710982525 John M Stanley Family Medicine 1007 N Pope St, Hms Community Health Center, Silver City, NM 88061-5161 2005-06-17
1326041187 John Stanley Radiology 36561 Harper Ave, Clinton Twp, MI 48035-2012 2005-05-24
1265674030 John Staples Stanley Social Worker 174 Concord Street, Strand Building, Peterborough, NH 03458 2009-03-25
1922247063 John Walter Stanley Nurse Anesthetist, Certified Registered 5555 Ponce De Leon Blvd, Miami, FL 33146-6858 2009-02-12
1508044454 John Joseph Stanley Social Worker 600 42nd St, Des Moines, IA 50312-2701 2008-02-02
1558434555 John David Stanley Dentist 2600 Bell Rd, Montgomery, AL 36117-4375 2006-11-16

Office Location

Street Address 3400 CIVIC CENTER BLVD
1-330S PERELMAN CENTER
City PHILADELPHIA
State PA
Zip Code 19104-5127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027727 Joel D Glickman Internal Medicine 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 2005-07-18
1841891058 Abigail Brooke Horowitz Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-11-04
1073129532 Samuel Kovell Physician Assistant 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-21
1306451695 Farzad Nourollah-zadeh Oral Medicinist 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-13
1609492917 Mosetta Harris Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-06-23
1063032530 Monique Maria Tee Internal Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-24
1609495290 Katharine Freeman Michel Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 2020-04-13
1609495498 Taha Samir Ghouleh Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-11
1952930554 Danielle Marie Lamarra Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-06
1982232658 Jasmine Hwang Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932740461 Mark Abdelmalek, Md LLC Dermatology 200 N 16th St Ste D, Philadelphia, PA 19102-1225 2019-10-07
1083061048 Brandon Rowe Dermatology 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 2016-05-19
1942647078 Jason Marc Schoenfeld Dermatology 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 2013-05-30
1588890669 Philippe Lafaille Dermatology 1200 Locust Street, Philadelphia, PA 19107 2009-06-03
1194950683 Jisun Cha Dermatology 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 2009-05-27
1962546952 Susan C. Taylor Dermatology 932 Pine St, Philadelphia, PA 19107-6128 2007-02-16
1194833590 Harold Farber Dermatology 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 2006-08-26
1770599839 Seana Patrice Covello Dermatology 621 Pine St, Philadelphia, PA 19106-4108 2006-07-31
1528080512 Kenneth E Wasserman Md PC Dermatology 1817 South Broad St, Philadelphia, PA 19148-2115 2006-07-25
1811947351 James R Treat Dermatology 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 2006-05-12
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Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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