Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Russell Forest Stanley, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1356797740

Dr. Russell Forest Stanley, DO is an Obstetrics/Gynecology in Tyler, Texas. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2016, 10 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Texas.

Years since qualifying
10
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
AL, TX
In the registry since
2016
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1100 E Lake St Ste 260
Tyler, TX 75701-3359
Phone: (903) 590-5700
Fax: (903) 590-5735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E Dawson St, Tyler, TX 75701-2036 — (903) 606-5121

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence S0996 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence S0996 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DO.2123 (AL)
Gynecology Physician Taxonomy 207VG0400X · Licence 2123 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356797740
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing addressPo Box 846098, Dallas, TX 75284-6098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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