DR. STACY ANNE BACON


Address: 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889
Phone: 2819557577

DR. STACY ANNE BACON (NPI# 1013962810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013962810
Entity Type Individual
Full Name DR. STACY ANNE BACON
Credential M.D.
Practice Address 21212 Northwest Fwy Ste 605
Cypress
TX 77429-5889
Mailing Address 11800 Fm 1960 Rd W
Houston
TX 77065-3840
Practice Telephone 2819557577
Practice Fax Number 2819555875
Mailing Telephone 2816642107
Mailing Fax Number 2819555875
Enumeration Date 2006-05-23
Last Update Date 2018-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
M0651 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BC/BS PIN 8F4308 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
11800 Fm 1960 Rd W, Houston, TX 770653840 2816642107 2819555875

Other Providers STACY BACON

NPI Name Taxonomy Address Enumeration
1770140998 Stacy Bacon Counselor 1701 18th Ave S, Seattle, WA 98144-4317 2019-05-22

Office Location

Street Address 21212 NORTHWEST FWY STE 605
City CYPRESS
State TX
Zip Code 77429-5889

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154920965 Sabj Pllc Orthopaedic Surgery 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2020-10-22
1164039533 Ortholonestar, Pllc Orthopaedic Surgery 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2020-09-29
1467967869 Lawton Garrett King Physician Assistant 21212 Northwest Fwy Ste 605, Cypress, TX 77429 2017-12-06
1356855829 Stuart Aldan Harman Nurse Practitioner 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2017-11-20
1962954321 Candice Lee Sanders Nurse Practitioner 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2016-11-01
1295155570 Brian J Vial Surgery 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2014-04-24
1013266691 Ryan Eric Blalock Orthopaedic Surgery 21212 Northwest Fwy Ste 605, Cypress, TX 77429 2012-08-29
1154614592 Ramona Mihu Internal Medicine 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2011-05-18
1972765667 Gunjan Silky Patel Physical Medicine & Rehabilitation 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2008-06-25
1124137112 Drew Mathew Fehsenfeld Orthopaedic Surgery 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902424757 Jesus Ramon Jasso Jr. Counselor 2126 Northwest Freeway/21216 U.S. 290 West, Suite 450, Cypress, TX 77429 2020-07-08
1659911196 Ffarzamllc Dentist 12430 Grant Road, Suite C, Cypress, TX 77429 2020-01-13
1467094136 Bud Norita Technician 11111 Saathoff Dr., Apt. #422, Cypress, TX 77429 2019-10-14
1710529938 Cypress Pediatric Occupational Therapy Occupational Therapist 12916 Malcomson Rd, Cypress, TX 77429 2019-10-09
1902460058 Alison M Lampton Counselor 17920 Huffmeister Rd Ste 250, Cypress, TX 77429 2019-04-24
1295295699 Ana Paula Mendez Nurse Practitioner 4216 Northwest Fwy, Suite 560, Cypress, TX 77429 2019-03-21
1952860371 Andre Austin Behavior Technician 12110 Huffmeister, Cypress, TX 77429 2019-03-15
1598224917 Tania Nguyen Behavior Technician 12110 Huffmeister Rd, Cypress, TX 77429 2019-03-15
1265903330 Cypress Rosehill Family Dentistry, Pllc Dentist 15626 Cypress Rosehill Rd, Suite 300, Cypress, TX 77429 2018-12-16
1124597661 Gordon Agawereh Nurse Practitioner 25801 Us-290, Cypress, TX 77429 2018-11-14
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881958940 Michael James Frazier Orthopaedic Surgery 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 2012-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730647074 Nix Physicians Inc. Orthopaedic Surgery 110 E Bandera Rd, Boerne, TX 78006-2802 2019-03-06
1598012148 Douglas Odin Hansen Orthopaedic Surgery 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 2012-08-13
1952344657 Andrew Marshall Ebert Orthopaedic Surgery 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 2006-06-13
1134189178 Texas Tech University Health Sciences Center El Paso Orthopaedic Surgery 4801 Alberta Ave., 230c, El Paso, TX 79905 2006-03-24
1679544308 William C Mcgarvey Orthopaedic Surgery 23920 Katy Freeway, Ste 160, Katy, TX 77494 2006-01-31
1235114927 Darryl D Cuda Orthopaedic Surgery 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 2005-12-14
1629682919 Central Texas Orthopaedic Foot and Ankle Center, Pllc Orthopaedic Surgery 5100 Franklin Ave, Waco, TX 76710-6922 2020-09-03
1023654258 Chad M Kennedy Md Pa Orthopaedic Surgery 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 2019-11-22
1770987422 All Pro Rehabilitation, LLC Orthopaedic Surgery 4444 Heritage Trace Pkwy, Ste 404, Fort Worth, TX 76244 2014-10-09
1558612119 Taggart T Gauvain Orthopaedic Surgery 10905 Memorial Hermann Dr Ste 130, Pearland, TX 77584-3773 2012-09-24
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Competitor

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City CYPRESS
Zip Code 77429

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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