Physician Compare National (NPI:1497801179)

HEALTHCARE PROVIDER: CHRISTOPHER D STANLEY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497801179
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638223068
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090819000281
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STANLEY
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	AVERA ST MARYS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0143134965
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	75
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	801 E SIOUX AVE
	Group Practice or individual's line 1 address
City	PIERRE
	Group Practice or individual's city
State	SD
	Group Practice or individual's state
Zip Code	575013323
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6059455221
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	430015
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AVERA ST MARY'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	431334
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WINNER REGIONAL HEALTHCARE CENTER - CAH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	430013
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	AVERA QUEEN OF PEACE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	431302
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	AVERA GETTYSBURG HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	431330
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	AVERA ST BENEDICT HEALTH CENTER - CAH
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1497801179)

HEALTHCARE PROVIDER: CHRISTOPHER D STANLEY MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information