DR. STACY VICTORIA SMITH (NPI# 1306138235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306138235 |
| Entity Type | Individual |
| Full Name | DR. STACY VICTORIA SMITH |
| Credential | M.D. |
| Practice Address |
17183 Interstate 45 S Ste 690 Shenandoah TX 77385-3317 |
| Mailing Address |
17183 Interstate 45 S Ste 690 The Woodlands TX 77385 |
| Practice Telephone | (936) 270-3900 |
| Practice Fax Number | 9362703901 |
| Mailing Telephone | 9362703900 |
| Mailing Fax Number | 9362703901 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Q3972 | TX | Allopathic & Osteopathic Physicians |
| N | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
Q3972 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 358404703 | 05 | |
| TX | 358404704 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5323 Harry Hines Blvd, Dallas, TX 753907208 | 2146450624 | 2146450078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472428 | Stacy Renee Smith | Specialist/Technologist | 1708 Surrey Ct, Garland, TX 75043-1355 | 2020-03-20 |
| 1508338856 | Stacy Smith | Pediatrics | 5345 Fm 3 S, Marquez, TX 77865-4303 | 2018-12-27 |
| 1245612779 | Stacy G. Smith | Counselor | 24 Godwin Ave Ste 210, Midland Park, NJ 07432-1927 | 2015-06-21 |
| 1730583501 | Stacy Lynn Smith | Pharmacist | 1017 W Haul Rd, Page, AZ 86040-0656 | 2014-10-22 |
| 1881953214 | Stacy J Smith | Occupational Therapist | 10240 E Vicksburg St, Tucson, AZ 85748-3462 | 2012-05-04 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1871898858 | Stacy Smith | Counselor | 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | 2011-01-21 |
| 1740476514 | Stacy Ann Smith | Counselor | 4525 Draper Rd, Raleigh, NC 27616-5674 | 2007-09-14 |
| 1255532495 | Stacy M. Smith | Dietitian, Registered | 261 Parkway Dr Ne, Atlanta, GA 30312-1210 | 2007-05-29 |
| 1114057791 | Stacy Smith | Rehabilitation Practitioner | 1411 N Grand Ave, 100, Covina, CA 91724-1001 | 2007-03-06 |
| Street Address |
17183 INTERSTATE 45 S STE 690 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77385-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326425281 | Shyam Panchal | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919116 | Laura Belorgey Bonds | Psychiatry & Neurology | 129 Vision Park Blvd Ste 201, Shenandoah, TX 77384-3024 | 2007-12-27 |
| 1609922210 | Nhu Bruce | Psychiatry & Neurology | 17183 I H 45 S Ste 690, Shenandoah, TX 77385 | 2007-01-26 |
| 1972506426 | Kevin Clifford Gaffney | Psychiatry & Neurology | 9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380-3883 | 2005-05-27 |
| 1124509765 | Woodlands Neurology Clinic Pllc | Psychiatry & Neurology | 129 Vision Park Blvd Ste 201, Shenandoah, TX 77384-3024 | 2018-08-22 |
| 1083980908 | Ai Sumida | Psychiatry & Neurology | 9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380-3883 | 2012-03-25 |
| 1316113251 | Yazan Jaafar Alderazi | Psychiatry & Neurology | 9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77385 |
Please comment or provide details below to improve the information on DR. STACY VICTORIA SMITH.
| 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.