PEGGY N. STOLL (NPI# 1275572851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275572851 |
| Entity Type | Individual |
| Full Name | PEGGY N. STOLL |
| Credential | M.D. |
| Practice Address |
12412 Judson Rd Live Oak TX 78233-3255 |
| Mailing Address |
7418 John Smith Suite 218 San Antonio TX 78229-6020 |
| Practice Telephone | 2105818399 |
| Mailing Telephone | 2106140959 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G3824 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | P00082505 | 01 |
| TX | BCBS | 8M6051 | 01 |
| Street Address |
12412 JUDSON RD |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205885878 | Roby P. Joyce | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-09 |
| 1831606334 | Tiffany Ann Johnson | Hospitalist | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2018-01-05 |
| 1184146334 | Monterrey Village Inpatient Services Pllc | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2017-07-10 |
| 1154871101 | Vicky Torres | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2016-10-13 |
| 1619331469 | Nathanael Peter Marsan | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3272 | 2016-04-07 |
| 1225499064 | Laura Wiemar | Registered Nurse | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2016-03-07 |
| 1174994396 | Herald Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1790156966 | Inner Harbor Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1568840569 | Erin De La Cruz | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233 | 2015-05-11 |
| 1154741155 | John Leonard | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2014-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205885878 | Roby P. Joyce | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-09 |
| 1154531333 | Ami R Bhalodia | Pathology | 12315 Judson Rd, Suite 114, Live Oak, TX 78233-3277 | 2007-05-23 |
| 1073569778 | Hanan H. Ayoub | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-25 |
| 1578519252 | Howard G. Weisbrod | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-25 |
| 1235185877 | Patricia G. Jeffreys | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922235 | Pathology Institute, Pllc | Pathology | 3201 University Dr E Ste 330, Bryan, TX 77802-3484 | 2020-11-04 |
| 1649893900 | Medical Service Consultation Pa | Pathology | 2613 Sir Percival Ln, Lewisville, TX 75056-5710 | 2020-05-21 |
| 1578196358 | Carlos M Torres Md Expert Pathology Consultation Servi | Pathology | 2840 Keller Springs Rd Ste 1104, Carrollton, TX 75006-4876 | 2020-02-19 |
| 1023654191 | Marsha L Eigenbrodt | Pathology | 860 Junction Dr Apt 344, Allen, TX 75013-5244 | 2019-11-22 |
| 1184274508 | Pathzone LLC | Pathology | 11215 Oudney Ct, Richmond, TX 77407-1883 | 2019-09-17 |
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1548793409 | Grant Williams | Pathology | 3551 Roger Brooke Dr # Tx, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2017-04-07 |
| 1417307448 | James Gaulding | Pathology | 19 Robledo Dr, Dallas, TX 75230-3055 | 2016-06-21 |
| 1386006492 | Audra Robinson | Pathology | 5417 Ridgepass Ln, Mckinney, TX 75071-3082 | 2016-03-28 |
| 1760840730 | Peachy Ridgway Gilmer Jr. | Pathology | 35 Tiel Way, Houston, TX 77019-1509 | 2016-02-05 |
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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.