GARY W B STABLEY PA-C
NPI 1750309969
Physician Assistant - Surgical in Wynnewood, PA

Q: What is Gary Stabley's NPI number?

The NPI number for Gary Stabley is 1750309969. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Gary Stabley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Gary Stabley was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2006PECOS Enrolled

100 E LANCASTER AVE, WYNNEWOOD, PA 19096(484) 476-1000(484) 476-9000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 4, 2017 (2 updates tracked since 2017).

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About Gary W B Stabley Pa-c NPPES

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

GARY W B STABLEY PA-C (NPI 1750309969) is an individual surgical provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MA052911) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750309969

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameGARY W B STABLEYCredential: PA-C

Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450

Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (484) 476-1000 · Fax (484) 476-9000

Phone(484) 476-1000

Fax(484) 476-9000

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1750309969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in PA · MA052911

100 E LANCASTER AVE, Wynnewood, PA 19096

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary W B Stabley Pa-c 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.