RUTH WESSEN STEFANOS (NPI# 1093158370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093158370 |
| Entity Type | Individual |
| Full Name | RUTH WESSEN STEFANOS |
| Practice Address |
609 Medical Center Dr # 2218 Decatur TX 76234-3836 |
| Mailing Address |
Po Box 2078 Decatur TX 76234-6156 |
| Practice Telephone | 9406262718 |
| Practice Fax Number | 9406261320 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Q9746 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1093158370 | 05 | |
| TX | BCBSTX | 8KE37 | 01 |
| Street Address |
609 MEDICAL CENTER DR # 2218 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465162 | Emily Rhoades | Pediatrics | 637 E Snyder Dr, Decatur, IL 62526-4766 | 2019-09-10 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1508363128 | Life Cycle Pediatrics, LLC | Pediatrics | 428 Winn Ct Ste 100a, Decatur, GA 30030-1726 | 2018-04-10 |
| 1063956902 | Anna Bowen | Pediatrics | 128 Fairview Ave, Decatur, GA 30030-2416 | 2016-12-12 |
| 1780057042 | William Walker | Pediatrics | 1561 Blackhall Ln Se, Decatur, AL 35601-6917 | 2015-11-09 |
| 1336542240 | Eva Harris | Pediatrics | 2613 Danforth Ln, Decatur, GA 30033-2214 | 2014-10-06 |
| 1750796967 | Sugantha Krishnan | Pediatrics | 1201 7th St Se Ste 210, Decatur, AL 35601-3337 | 2014-06-25 |
| 1265772917 | William Jennings Branan Jr. | Pediatrics | 2592 River Oak Drive, Decatur, GA 30033 | 2013-02-18 |
| 1245576115 | Sharmila Shetty | Pediatrics | 446 Woodhaven Dr, Decatur, GA 30030-1650 | 2012-12-21 |
| 1356616429 | Jennifer Lynn Menon | Pediatrics | 1874 Beltline Rd Sw Ste 300, Decatur, AL 35601-5514 | 2012-03-21 |
| Find all providers in DECATUR | ||||
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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.