Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114998010 Individual Practitioner Male Practitioner

Dr. Thomas Paul Stanley , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Stanley, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 2606 PARK ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2606 Park St.

Jacksonville, FL 32204

Telephone 9043884646
Fax 9043889017
Associated Practice Facility / Clinic
🏢 Jacksonville Pediatrics Facility NPI 1043346745

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME 0057822

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0643840-00 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Elizabeth Emerson , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1164153060

PNPPC

NPI 1225099740

Doctor of Medicine (M.D.)

NPI 1487625398

Doctor of Medicine (M.D.)

NPI 1508156795

Doctor of Osteopathic Medicine (D.O.)

NPI 1629294665

Doctor of Medicine (M.D.)

Ceara Drexel , NP

Nurse Practitioner

NPI 1710631486

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address April 22, 2021

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 9043884646)

NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2017

Registered at 2606 PARK ST., JACKSONVILLE, FL 32204 (Tel: 9043884646)

📍
Updated Business Mailing Address April 13, 2017

Registered at 2606 PARK ST., JACKSONVILLE, FL 32204 (Tel: 9043884646)

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as THOMAS STANLEY, M. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Pediatrics (License #ME 0057822 in FL)

NPI Profile Active May 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2013

Registered at 2606 PARK ST., JACKSONVILLE, FL 32204 (Tel: 9043884646)

📍
Updated Business Mailing Address May 30, 2013

Registered at 2606 PARK ST., JACKSONVILLE, FL 32204 (Tel: 9043884646)

👤
Provider Name / Credentials Updated May 30, 2013

Recorded as THOMAS STANLEY, M. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2013

Pediatrics (License #ME 0057822 in FL)

🟢
Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114998010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: April 22, 2021
Sole Proprietor: No

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 9043884646

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.