DR. STACEY STEVENS SCHMIEDECKE (NPI# 1124392741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124392741 |
Entity Type | Individual |
Full Name | DR. STACEY STEVENS SCHMIEDECKE |
Other Name | DR. STACEY AERIN STEVENS |
Credential | M.D. |
Practice Address |
Madigan Army Medical Center 9040 Jackson Avenue Tacoma WA 98431-5000 |
Mailing Address |
9040 Jackson Ave 34800 Bob Wilson Drive Tacoma WA 98431-0001 |
Practice Telephone | 2539682417 |
Practice Fax Number | 2539682385 |
Mailing Telephone | 2539682417 |
Mailing Fax Number | 2539681254 |
Enumeration Date | 2012-02-29 |
Last Update Date | 2019-06-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 01072991A | IN | Allopathic & Osteopathic Physicians |
Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE |
City | TACOMA |
State | WA |
Zip Code | 98431-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255314944 | Mark Isadore Hainer | Internal Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-8561 | 2005-11-28 |
1235736901 | Jessica Kastl | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7212 | 2020-10-06 |
1255805651 | Trey Baker | Nurse Anesthetist, Certified Registered | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7324 | 2019-01-18 |
1063911949 | Katherine Naomi Mcleod | Registered Nurse | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2018-02-07 |
1861831620 | Michael David Stockin | Anesthesiology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5001 | 2013-06-14 |
1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
1942564943 | Stefan George Kazacos | Emergency Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0004 | 2012-06-25 |
1295027472 | Amilyn Mee Young Han Taplin | Neurological Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2011-05-06 |
1427386119 | Clemintene Benjamin | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4066 | 2009-11-18 |
1841421575 | Christopher Bryant Brueckner | Optometrist | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 | 2009-07-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
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Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649754441 | Steven R Maynard, Md, Pllc | Obstetrics & Gynecology | 1802 S Yakima Ave Ste 300, Tacoma, WA 98405-5305 | 2018-09-18 |
1881912921 | Ashley Urick Hall | Obstetrics & Gynecology | 9040 Jackson Ave Department of Ob/gyn, Tacoma, WA 98431-0001 | 2010-05-13 |
1508051020 | Loren Petrozella Molina | Obstetrics & Gynecology | 1105 Division Ave Ste 201, Tacoma, WA 98403-1646 | 2007-09-07 |
1922146380 | Brian Lee Morris | Obstetrics & Gynecology | Madigan Army Med Ctr, Mchj-og, Tacoma, WA 98431-1100 | 2007-02-01 |
1962581686 | Jose Antonio Garcia Jr. | Obstetrics & Gynecology | 223 N K St, Tacoma, WA 98403-1623 | 2006-11-03 |
1740390582 | Johnette Barnes Maehren | Obstetrics & Gynecology | 1717 South J. Street, Tacoma, WA 98405 | 2006-08-30 |
1568570257 | Gary Wayne Nickel | Obstetrics & Gynecology | 222 N J St, Suite A, Tacoma, WA 98403-1984 | 2006-08-25 |
1962430884 | Elizabeth T Mckinney | Obstetrics & Gynecology | 1105 Division Ave # 201, Tacoma, WA 98403-1646 | 2006-06-29 |
1770520728 | Steven R Maynard | Obstetrics & Gynecology | 1802 Yakima Ave Ste 300, Tacoma, WA 98405-5305 | 2006-05-31 |
1346207040 | Lisa M Foglia | Obstetrics & Gynecology | 3040 Fitzsimmons Ave, Mchj-clb, Tacoma, WA 98431-0001 | 2006-04-27 |
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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.