ALICE V STANLEY PA-C NPI 1184014128

NPI Information

NPI: 1184014128
Provider Name: ALICE V STANLEY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 414-4800
Get Directions

Alice V Stanley, PA-C is a surgical physician assistant in South Charleston, WV. Alice V Stanley, PA-C NPI is 1184014128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
ZIP 25309-311
Phone: (304) 414-4800
Fax: (304) 414-4801

The NPI 1184014128 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), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 11/10/2022.

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	363A00000X	Physician Assistant		0119	WEST VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	0119	WEST VIRGINIA	No
3	363AS0400X	Physician Assistant	Surgical	0119	WEST VIRGINIA	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: 4/28/2024

NPI Synchronization or Removal

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