DR. RUSSELL FOREST STANLEY D.O. NPI 1356797740

NPI Information

  • NPI: 1356797740
  • Provider Name: DR. RUSSELL FOREST STANLEY, D.O.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 E LAKE ST STE 260
    TYLER, TX
    ZIP 75701
  • Phone: (903) 590-5700

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NPI Details

DR. Russell Forest Stanley, D.O. is an urogynecology and reconstructive pelvic surgery in Tyler, TX with 10 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Russell Forest Stanley, D.O. NPI is 1356797740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2016

The provider's business location address is:

1100 E LAKE ST STE 260
TYLER, TX
ZIP 75701-359
Phone: (903) 590-5700
Fax: (903) 590-5735

The NPI 1356797740 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Detection test by immunoassay technique for streptococcus, group a (strep) (HCPCS:87430)

The enumeration date for this NPI number is 5/4/2016 and was last updated on 9/10/2024.

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
1207V00000XObstetrics & GynecologyS0996TEXASNo
2207V00000XObstetrics & GynecologyDO.2123ALABAMANo
3207VG0400XObstetrics & GynecologyGynecology2123ALABAMANo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryS0996TEXASYes

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: 11/21/2025

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