JEROD STANLEY DPM NPI 1356758668

NPI Information

NPI: 1356758668
Provider Name: JEROD STANLEY, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: STANLEY AND UTTERBACK

PECOS Registration: Yes

Address:
3525 ENSIGN RD NE STE N
OLYMPIA, WA
ZIP 98506
Phone: (360) 943-9600
Get Directions

Jerod Stanley, DPM is a foot and ankle surgery podiatrist in Olympia, WA with 11 years of experience. Jerod Stanley, DPM NPI is 1356758668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2013

The provider's business location address is:

3525 ENSIGN RD NE STE N
OLYMPIA, WA
ZIP 98506-065
Phone: (360) 943-9600
Fax: (360) 943-9694

The NPI 1356758668 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/18/2014 and was last updated on 4/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO60750804	WASHINGTON	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO60750804	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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