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

NPI Status: Active since July 17, 2006

Contact Information

100 E LANCASTER AVE
WYNNEWOOD, PA
ZIP 19096
Phone: (484) 476-1000
Fax: (484) 476-9000

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  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About GARY STABLEY

This page provides the complete NPI Profile along with additional information for Gary Stabley, a provider established in Wynnewood, Pennsylvania with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1750309969 assigned on July 2006. The practitioner's primary taxonomy code is 363AS0400X with license number MA052911 (PA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1750309969
Provider Name
GARY W B STABLEY PA-C
Gender
Male
Entity Type
Individual
Location Address
100 E LANCASTER AVE WYNNEWOOD, PA 19096
Location Phone
(484) 476-1000
Location Fax
(484) 476-9000
Mailing Address
100 E LANCASTER AVE WYNNEWOOD, PA 19096
Mailing Phone
(484) 476-1000
Mailing Fax
(484) 476-9000
Is Sole Proprietor?
No
Enumeration Date
07-17-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA052911
License State
PA

Medicare Participation & PECOS Enrollment Status

Gary Stabley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750309969
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006018912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 0 + 1 + 8 + 9 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1750309969 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003819079DR. ROBERT D. SMINK JR. MD
Individual
Surgery100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 642-1908
1184627143DR. FRANCISCO G BADOSA M.D.
Individual
Surgery100 E LANCASTER AVE 4404 MEDICAL SCIENCE BUILDING
WYNNEWOOD, PA 19096
(610) 645-8485
1881697845DR. ROBERT B NOONE JR. MD
Individual
Colon & Rectal Surgery100 E LANCASTER AVE SUITE 275 LANKENAU MED SCI BLDG.
WYNNEWOOD, PA 19096
(610) 642-1908
1578568325 DAVID NAIDE MD
Individual
Internal Medicine (Cardiovascular Disease)100 E LANCASTER AVE SUITE 356 LANKENAU MOB EAST
WYNNEWOOD, PA 19096
(610) 649-7625
1598761538CARDIOVASCULAR ASSOCIATES OF SOUTHEASTER PENNSYLVANIA PC
Organization
Internal Medicine (Cardiovascular Disease)100 E LANCASTER AVE STE 356EAST
WYNNEWOOD, PA 19096
(610) 649-7625
1245239318DR. MARY A STEFANYSZYN MD
Individual
Ophthalmology100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA 19096
(610) 649-1970
1659370633 JOSEPH C FLANAGAN MD
Individual
Ophthalmology100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA 19096
(610) 649-1970
1134129349DR. ALBERT DENITTIS MD
Individual
Radiology (Radiation Oncology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2433
1457351660DR. MARISA WEISS MD
Individual
Radiology (Radiation Oncology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2433
1275529190MAIN LINE HOSPITALS, INC.
Organization
Skilled Nursing Facility100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-6400
1255328571 WILLIAM R FORMAN DPM
Individual
Podiatrist100 E LANCASTER AVE SUITE 117
WYNNEWOOD, PA 19096
(610) 649-9662
1679561963 CHARLES ROBERT SCHLEIFER MD
Individual
Internal Medicine (Nephrology)100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST
WYNNEWOOD, PA 19096
(610) 649-1175
1659369874 CORINNE MCMASTER MORGAN MD
Individual
Internal Medicine (Nephrology)100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST
WYNNEWOOD, PA 19096
(610) 649-1175
1215927363 AILEEN J JASKO JOYCE CRNP
Individual
Nurse Practitioner (Family)100 E LANCASTER AVE SUITE 108
WYNNEWOOD, PA 19096
(610) 645-3400
1750372694ISADORE P FORMAN DPM LTD
Organization
Podiatrist100 E LANCASTER AVE STE 117
WYNNEWOOD, PA 19096
(610) 649-9662
1871584169 DAVID T HARRIS MD
Individual
Internal Medicine (Hematology & Oncology)100 E LANCASTER AVE SUITE 417
WYNNEWOOD, PA 19096
(610) 658-9690
1114900602 DINA MONZER YOUSEF ZAHRA MD
Individual
Radiology (Neuroradiology)100 E LANCASTER AVE DEPT OF RADIOLOGY
WYNNEWOOD, PA 19096
(610) 429-0693
1497734685 ILA M PETERSON M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-8013
1366421588 JOSEPH P HORSTMANN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2613
1114906302 SHOTARO IMAIZUMI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750309969, enumerated in the NPI registry as an "individual" on July 17, 2006

The provider is located at 100 E Lancaster Ave Wynnewood, Pa 19096 and the phone number is (484) 476-1000

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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