Provider Demographics
NPI:1306055694
Name:HARPER, STANLEY JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:JOSEPH
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STANLEY
Other - Middle Name:JOSEPH
Other - Last Name:HORKY
Other - Suffix:III
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11455 N MERIDIAN ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1691
Mailing Address - Country:US
Mailing Address - Phone:317-848-0001
Mailing Address - Fax:317-848-0002
Practice Address - Street 1:11455N MERIDIAN ST 150
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1691
Practice Address - Country:US
Practice Address - Phone:317-848-0001
Practice Address - Fax:317-848-0002
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-044945390200000X
IN01068593A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program