DR. KEITH L STANLEY (NPI# 1992773188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992773188 |
| Entity Type | Individual |
| Full Name | DR. KEITH L STANLEY |
| Credential | MD |
| Practice Address |
4802 S 109th East Ave Tulsa OK 74146-5822 |
| Mailing Address |
4802 S 109th E Avenue Tulsa OK 74146 |
| Practice Telephone | 9183921400 |
| Practice Fax Number | 9183921488 |
| Mailing Telephone | 9183921400 |
| Mailing Fax Number | 9183921488 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
15232 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | P00155592 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609052687 | Keith Everett Stanley | Pharmacist | 689 E Ridge Rd, Rochester, NY 14621-1706 | 2008-01-21 |
| 1649355496 | Keith Wayne Stanley | Dentist | 325 Cedar St., Wilton, IA 52778-0007 | 2006-10-26 |
| 1285871244 | Keith Kelly Stanley | Occupational Therapist | 1268 E 32nd St, Silver City, NM 88061-7229 | 2009-01-13 |
| Street Address |
4802 S 109TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500415 | Jaafar M Bazih | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-07 |
| 1285294710 | Tbj Advanced Care LLC | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2019-06-17 |
| 1003391905 | Rebecca Holland | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2018-09-27 |
| 1730685314 | Johnathon David Millwee | Specialist/Technologist | 4802 S 109th East Ave, Tulsa, OK 74146 | 2018-04-03 |
| 1124400064 | Craig Stewart | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2015-06-28 |
| 1396155222 | Rey Amezquita | Orthotist | 4802 S 109th East Ave, Brace Shop, Tulsa, OK 74146-5822 | 2014-04-30 |
| 1700223070 | Thomas Calvin Blair IIi | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-05-28 |
| 1396082137 | Ashley Linn Legg | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-01-14 |
| 1417251372 | Luis Hernandez | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2011-01-06 |
| 1720306277 | Jason Griffin | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836244 | T Jeffrey Emel | Family Medicine | 6475 S Yale Ave Ste 301, Tulsa, OK 74136 | 2005-07-29 |
| 1629334701 | Nicholas K Thompson | Family Medicine | 6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 | 2012-04-03 |
| 1710277207 | Oklahoma Pain & Rehab LLC | Family Medicine | 2121 S Columbia Ave, Suite 501, Tulsa, OK 74114-3505 | 2011-04-18 |
| 1043509474 | Britney Else | Family Medicine | 9645 Riverside Pkwy, Suite C, Tulsa, OK 74137-7423 | 2011-04-06 |
| 1841333002 | Donald Ralph Barney | Family Medicine | 5906 E 31st St, Suite 2, Tulsa, OK 74135-5110 | 2007-02-15 |
| 1104830090 | Gilcrease Medical Center PC | Family Medicine | 7125 S. Braden Ave., Tulsa, OK 74136 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936348 | Bryce Rudek | Family Medicine | 591 Pendleton St, Tahlequah, OK 74464-2271 | 2016-03-31 |
| 1619355849 | Leslie Beaty | Family Medicine | 4227 Macys Pl, Moore, OK 73160-2879 | 2015-05-07 |
| 1396044764 | Michelle Rockwell | Family Medicine | 2950 S Elm Pl Ste 120, Broken Arrow, OK 74012-7816 | 2011-03-23 |
| 1902078298 | Steve Eric Randall | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2008-03-27 |
| 1407035447 | Steven D. King, D.o., P.c | Family Medicine | 501 E 15th St Ste 400b, Edmond, OK 73013-5040 | 2007-10-26 |
| 1356314603 | Ryan A Pitts | Family Medicine | 301 N Broadway St Ste 301, Poteau, OK 74953-3355 | 2006-02-08 |
| 1518967561 | Steven R Hardage | Family Medicine | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2005-07-29 |
| 1699311308 | Acellerated Interventional Orthopedics | Family Medicine | 1002 Ne Highway 66 Ste 3, Sayre, OK 73662-9312 | 2019-11-18 |
| 1154845501 | Osumc Professional Services LLC | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2017-07-27 |
| 1104219385 | Avenstar Pain Specialists, Pllc | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEITH L STANLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.