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

Stanley R Stacy, DO

Individual provider General Practice Physician · NPI 1225018757

Stanley R Stacy, DO is a Family Practice in Tulsa, Oklahoma. Qualified in 1991, 35 years ago. Practices with My Doctor Immediate Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
35
Licensed in
OK
In the registry since
2006
Specialties on file
2
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.

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Practice location Address checks out

10106 S Sheridan Rd
Tulsa, OK 74133-6775
Phone: (918) 619-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 3054 (OK)
General Practice Physician Taxonomy 208D00000X · Licence 3054 (OK)

Record details

NPI number1225018757
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address10106 S Sheridan Rd, Tulsa, OK 74133-6775

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice My Doctor Immediate Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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