MEDICARE: DR. ERNEST STANLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MD055555L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215918529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERNEST STANLEY M.D.

Provider Business Mailing Address
First Line	:	725 CHERRINGTON PKWY
Second Line	:	SUITE 100
City	:	MOON TWP
State	:	PA
Zip	:	15108-4318
Country	:	US
Telephone Number	:	412-262-1000
Fax Number	:	412-262-4607

Provider Business Practice Location Address
First Line	:	725 CHERRINGTON PKWY
Second Line	:	SUITE 100
City	:	MOON TWP
State	:	PA
Zip	:	15108-4318
Country	:	US
Telephone Number	:	412-262-1000
Fax Number	:	412-262-4607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	11/21/2024

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Directions to “ DR. ERNEST STANLEY M.D.” Practice Location

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