MARY CAROLINE STANCUKAS (NPI# 1356757934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356757934 |
| Entity Type | Individual |
| Full Name | MARY CAROLINE STANCUKAS |
| Credential | DPM |
| Practice Address |
6076 Azle Ave Ste 200 Lake Worth TX 76135-2627 |
| Mailing Address |
6076 Azle Ave Suite 200 Lake Worth TX 76135-2627 |
| Practice Telephone | (817) 238-8400 |
| Practice Fax Number | 8172388401 |
| Mailing Telephone | (817) 238-8400 |
| Mailing Fax Number | 8172388401 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2287 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135000840 | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
6076 AZLE AVE STE 200 |
| City | LAKE WORTH |
| State | TX |
| Zip Code | 76135-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932356789 | Russell Pendleton | Podiatrist | 6312 Azle Ave, Lake Worth, TX 76135-2442 | 2008-08-23 |
| 1295926301 | Karl H. Michel | Podiatrist | 4615 Capital Dr, Lake Worth, FL 33463-8184 | 2007-08-05 |
| 1992770994 | Edward J Sperling | Podiatrist | 9621 Bergamo St, Lake Worth, FL 33467-6168 | 2006-02-22 |
| 1568783553 | Advanced Foot and Ankle Associates | Podiatrist | 6312 Azle Ave, Lake Worth, TX 76135-2442 | 2010-06-14 |
| 1902012065 | Kevin H Lapoff, Dpm | Podiatrist | 6422 Lake Worth Rd, Lake Worth, FL 33463-3008 | 2007-05-15 |
| 1235246265 | Richard H. Lewis | Podiatrist | 4175 S Congress Ave, Suite D, Lake Worth, FL 33461-4725 | 2006-08-24 |
| 1063447522 | Saul Lipsman | Podiatrist | 6894 Lake Worth Rd, Suite #102, Lake Worth, FL 33467 | 2006-07-12 |
| 1366475709 | Saul Lipsman Dpm Mdpa | Podiatrist | 6894 Lake Worth Rd, Suite 102, Lake Worth, FL 33467 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748656 | Lonestar Foot and Ankle Surgical Associates, Pllc | Podiatrist | 515 E Court St Ste 300, Seguin, TX 78155-5726 | 2020-10-19 |
| 1528665437 | New Horizon Foot and Ankle Specialists | Podiatrist | 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 | 2020-10-04 |
| 1467067603 | Katy Foot & Ankle Pllc | Podiatrist | 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 | 2020-09-14 |
| 1154932812 | Delara Foot and Ankle Pllc | Podiatrist | 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 | 2020-08-14 |
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1013536952 | Select Foot and Ankle Specialists, P.l.l.c. | Podiatrist | 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 | 2020-04-10 |
| 1871129445 | Interventional Partners LLC | Podiatrist | 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 | 2020-03-16 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 76135 |
Please comment or provide details below to improve the information on MARY CAROLINE STANCUKAS.
| 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.