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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STANLEY MICHAEL STANISH M.D.
NPI 1033257407
General Practice in Kingston, PA

Active since February 01, 2007PECOS Enrolled
675 WYOMING AVE, KINGSTON, PA 18704(570) 288-4205 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stanley Michael Stanish M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STANLEY MICHAEL STANISH M.D. (NPI 1033257407) is an individual general practice provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD039841-L) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033257407
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. STANLEY MICHAEL STANISHCredential: M.D.
Location Address675 WYOMING AVEKingston, PA 18704-3831
Mailing Address675 Wyoming AveKingston, PA 18704-3831 · (570) 288-4205
Phone(570) 288-4205
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 5, 2026
✔ NPI 1033257407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD039841-L
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
675 WYOMING AVE, Kingston, PA 18704
Open in Google Maps ↗

Other Identifiers 1

Medicaid01026932PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stanley Michael Stanish M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SAMUEL R WALKER RD
Dietitian, Registered
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
DR. JOSEPH ANTHONY CAMPANELLA M.D.
General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MR. CORY IAN SHAFER LPC
Counselor (Professional)
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 332-2093
SCOTT ALAN WEISENFLUH PA-C
Physician Assistant
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
STEFANIE MARIE SMITH MS, RD, LDN
Dietitian, Registered
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MS. PAMELA LEA MACNEELY PA-C
Physician Assistant (Medical)
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MEDICAL PROFESIONAL SERVICE, PC
General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MRS. LYNN ECKROTE PA-C
Physician Assistant (Medical)
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Stanish's NPI number?

The NPI number for Stanley Stanish is 1033257407. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Stanley Stanish located?

Stanley Stanish practices at 675 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-4205.

What is Stanley Stanish's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stanley Stanish enrolled in Medicare?

Yes. Stanley Stanish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stanley Stanish was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.