MR. TIMOTHY JACK STANSBURY R.T. (R)
NPI 1104001833
Radiologic Technologist - Radiography in Saint Louis, MO

Active since December 31, 2007
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Jack Stansbury R.t. (r) NPPES

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

MR. TIMOTHY JACK STANSBURY R.T. (R) (NPI 1104001833) is an individual radiography provider in Saint Louis, Missouri, licensed in Missouri (376828) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1104001833
Entity TypeIndividualMale
Primary Taxonomy2471C3402X
Provider Legal NameMR. TIMOTHY JACK STANSBURYCredential: R.T. (R)
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address57 Pearl DrHillsboro, MO 63050-5032 · (636) 797-5983
Sole ProprietorNo
Enumeration DateDecember 31, 2007
NPI 1104001833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471C3402X
License Licensed in MO · 376828
Definition
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
915 N GRAND BLVD, Saint Louis, MO 63106

Other Providers at the Same Location NPPES 20

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

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106

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 Timothy Stansbury's NPI number?

The NPI number for Timothy Stansbury is 1104001833. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Timothy Stansbury located?

Timothy Stansbury practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Timothy Stansbury's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

When was this NPI record last updated?

The NPPES record for Timothy Stansbury was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.