STACY MARTYN GALLO (NPI# 1023397288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023397288 |
| Entity Type | Individual |
| Full Name | STACY MARTYN GALLO |
| Credential | P.A. -C |
| Practice Address |
1380 Pantheon Way Suite 310 San Antonio TX 78232-2288 |
| Mailing Address |
402 Bluffcourt San Antonio TX 78216-1907 |
| Practice Telephone | 2104049696 |
| Practice Fax Number | 2104049466 |
| Mailing Telephone | 2103785555 |
| Mailing Fax Number | 2103785555 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2013-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1380 PANTHEON WAY SUITE 310 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345423 | Edmund P Williams Iv | Family Medicine | 1380 Pantheon Way, Ste 310, San Antonio, TX 78232-2288 | 2005-09-07 |
| 1760049712 | Marianela Ramierz Domenech | Acupuncturist | 1380 Pantheon Way, San Antonio, TX 78232 | 2019-05-24 |
| 1114377181 | Maria Leticia Marcon | Counselor | 1380 Pantheon Way, Suite 150, San Antonio, TX 78232-2288 | 2016-06-20 |
| 1912356197 | Nicholas Gaultney | Nurse Practitioner | 1380 Pantheon Way, Suite 310, San Antonio, TX 78232-2288 | 2016-06-08 |
| 1760837413 | Sofia Graciela Torres | Counselor | 1380 Pantheon Way, #150, San Antonio, TX 78232-2288 | 2016-05-02 |
| 1619344785 | Kesha Martin | Counselor | 1380 Pantheon Way, San Antonio, TX 78232 | 2015-08-25 |
| 1518190859 | Genesis Neuropsychiatric Center | Psychiatry & Neurology | 1380 Pantheon Way, #310, San Antonio, TX 78232-2288 | 2009-09-03 |
| 1922218205 | Joseph Edward Murphy IIi | Physician Assistant | 1380 Pantheon Way, Suite 310, San Antonio, TX 78232-2288 | 2007-05-23 |
| 1518092212 | Community Mental Health | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2007-02-22 |
| 1184730756 | Amy M Fuller | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1194210658 | 5 Star Integrity Healthcare, LLC | Physician Assistant | 1300 West Ave Ste 201, San Antonio, TX 78201-3501 | 2018-06-27 |
| 1245750512 | William S Beall Jr. | Physician Assistant | 230 E Travis St, San Antonio, TX 78205-1702 | 2017-06-27 |
| 1114473808 | Devon H. Durand | Physician Assistant | 7950 Floyd Curl Dr Ste 805, San Antonio, TX 78229-3926 | 2016-09-01 |
| 1538533104 | Dara Danielle Valdez | Physician Assistant | 2040 Babcock Rd Ste 301, San Antonio, TX 78229-4428 | 2015-11-19 |
| 1720458870 | Thomas Alan Espinoza | Physician Assistant | 1919 Rogers Rd Ste 104, San Antonio, TX 78251 | 2015-10-01 |
| 1477922474 | Michelle Sheree Fonseca | Physician Assistant | 9811 Huebner Rd Bldg 2, San Antonio, TX 78240-3255 | 2015-09-20 |
| 1235526575 | Precision First Assist LLC | Physician Assistant | 1141 N Loop 1604 E # 105-717, San Antonio, TX 78232-1339 | 2015-04-24 |
| 1497142160 | Jimmy Larue Conner | Physician Assistant | 2903 Deer Ledge, San Antonio, TX 78230-4554 | 2015-04-21 |
| 1740678317 | Catherine Millet | Physician Assistant | 730 N Main Ave Ste 312, San Antonio, TX 78205-1115 | 2015-01-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on STACY MARTYN GALLO.
| 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.