DR. STACY MICHELLE STEPHENSON (NPI# 1053531012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053531012 |
| Entity Type | Individual |
| Full Name | DR. STACY MICHELLE STEPHENSON |
| Credential | MD |
| Practice Address |
1930 Alcoa Hwy Suite 235 Knoxville TN 37920-1500 |
| Mailing Address |
Po Box 440445 Nashville TN 37244-0445 |
| Practice Telephone | 8653054670 |
| Practice Fax Number | 8653054671 |
| Mailing Telephone | 8656706199 |
| Mailing Fax Number | 8656706198 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 50600 | TN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | P17006 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972991446 | Stacy Stephenson | Radiologic Technologist | 38777 6 Mile Rd Ste 209, Livonia, MI 48152-2660 | 2015-01-06 |
| Street Address |
1930 ALCOA HWY SUITE 235 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215916754 | Karla J Matteson | Medical Genetics | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1500 | 2006-01-12 |
| 1083065932 | Nancy Leanne Mixon | Nurse Practitioner | 1930 Alcoa Hwy, Building A Suite 435, Knoxville, TN 37920-1500 | 2016-06-22 |
| 1912357609 | Daniel John Burgin | Student in an Organized Health Care Education/Training Program | 1930 Alcoa Hwy, Medical Building A, Suite 340, Knoxville, TN 37920-1500 | 2016-06-14 |
| 1154771806 | Nicholas Steven Cakmes | Dentist | 1930 Alcoa Hwy, Medical Building A, Suite 340, Knoxville, TN 37920-1500 | 2016-06-14 |
| 1962800912 | University Health System, Inc | Medical Genetics | 1930 Alcoa Hwy, Ste 235, Knoxville, TN 37920-1500 | 2014-12-08 |
| 1003220039 | Jeremy Alan Edwards | Student in an Organized Health Care Education/Training Program | 1930 Alcoa Hwy, A-335, Knoxville, TN 37920-1500 | 2014-06-18 |
| 1144640467 | Emily Goodson | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2014-04-25 |
| 1295151603 | Darla Smith | Dietitian, Registered | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1500 | 2014-03-10 |
| 1184046260 | Emily Weseman | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2014-01-09 |
| 1316291768 | Mary Louise Ward | Registered Nurse | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2012-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972741361 | William James Schneider | Plastic Surgery | 8101 Osler Ln, Knoxville, TN 37909-2130 | 2009-01-23 |
| 1578687372 | East Tennessee Plastic Surgery,p.c. | Plastic Surgery | 9430 Park West Blvd Ste 240, Knoxville, TN 37923-4204 | 2007-03-19 |
| 1376609842 | Dean Kleto | Plastic Surgery | 9123 Cross Park Dr, Suite #100, Knoxville, TN 37923-4552 | 2006-12-29 |
| 1710378401 | Jason J. Hall, Md, Pllc | Plastic Surgery | 9239 Park West Blvd, Suite 202, Knoxville, TN 37923-4403 | 2015-02-17 |
| 1437460821 | University Health System, Inc | Plastic Surgery | 1930 Alcoa Hwy, Ste 235, Knoxville, TN 37920-1500 | 2010-06-30 |
| 1154582450 | Daniel Peter Fowler | Plastic Surgery | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2008-06-19 |
| 1376747824 | Kathleen Suzanne Herbig | Plastic Surgery | 1930 Alcoa Hwy, Suite 235, Knoxville, TN 37920-1500 | 2007-06-11 |
| 1689720690 | David B Reath | Plastic Surgery | 109 S Northshore Dr, Ste. 101, Knoxville, TN 37919-4939 | 2007-01-25 |
| 1447301270 | Jay H Lucas | Plastic Surgery | 280 Fort Sanders West Blvd, Ste 112, Knoxville, TN 37922-3352 | 2007-01-16 |
| 1609925593 | James Walter Taylor | Plastic Surgery | 1930 Alcoa Hwy, Suite 235 Bldg A, Knoxville, TN 37920-1500 | 2007-01-09 |
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| 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.