Provider Demographics
NPI:1912937970
Name:PAIST, STANLEY SCOTT III (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:SCOTT
Last Name:PAIST
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2301 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4154
Mailing Address - Country:US
Mailing Address - Phone:717-397-2738
Mailing Address - Fax:717-397-7634
Practice Address - Street 1:2301 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4154
Practice Address - Country:US
Practice Address - Phone:717-397-2738
Practice Address - Fax:717-397-7634
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020972E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000001120OtherHIGHMARK BLUE SHIELD
PA0012929390012Medicaid
PA0038383000OtherINDEPENDENCE BLUE CROSS
PA100338IOtherAMERIHEALTH MERCY
PA080179262OtherRAILROAD MEDICARE
PA35648OtherGEISINGER
PA000000127144OtherUNISON
PA4059461OtherAETNA
PA50082752OtherCAPITAL BLUE CROSS
PAP009623OtherGATEWAY
PA100338IOtherAMERIHEALTH MERCY
PA50082752OtherCAPITAL BLUE CROSS