STANLEY MATHEW
NPI 1730979816
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since May 12, 2025
1500 PARK AVE, SAINT LOUIS, MO 63104(214) 778-9299 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2025, May 12, 2025 (2 updates tracked since 2025).

About Stanley Mathew NPPES

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

STANLEY MATHEW (NPI 1730979816) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1730979816
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameSTANLEY MATHEW
Location Address1500 PARK AVESaint Louis, MO 63104-3024
Mailing Address2862 Woodbury DrSaint Louis, MO 63125-5124
Sole ProprietorNo
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1730979816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 PARK AVE, Saint Louis, MO 63104

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.

Dentist (General Practice)
1500 PARK AVE
SAINT LOUIS, MO 63104
Dentist (General Practice)
1500 PARK AVE
SAINT LOUIS, MO 63104
Dental Hygienist
1500 PARK AVE
SAINT LOUIS, MO 63104
Dentist
1500 PARK AVE, ORAL MAXILLOFACIAL SURGERY
ST LOUIS, MO 63104
Dentist
1500 PARK AVE
SAINT LOUIS, MO 63104
Clinic/Center (Student Health)
1500 PARK AVE
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
Counselor (Addiction (Substance Use Disorder))
1500 PARK AVE
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730979816, enumerated as an "individual" on May 12, 2025.

The provider is located at 1500 PARK AVE SAINT LOUIS, MO 63104 and the phone number is (214) 778-9299.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.