STACY LYNN FENNELL


Address: 3851 Roger Brooke Dr, Mche-emr, Fort Sam Houston, TX 78234-4501
Phone: 2102927626

STACY LYNN FENNELL (NPI# 1477846582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477846582
Entity Type Individual
Full Name STACY LYNN FENNELL
Credential D.O.
Practice Address 3851 Roger Brooke Dr
Mche-emr
Fort Sam Houston
TX 78234-4501
Mailing Address 8344 Versailles Se Rd
Bradford
OH 45308-9602
Practice Telephone 2102927626
Mailing Telephone 9379748352
Enumeration Date 2011-05-23
Last Update Date 2014-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 02004134A IN Allopathic & Osteopathic Physicians

Other Providers STACY FENNELL

NPI Name Taxonomy Address Enumeration
1538377817 Stacy A Fennell Marriage & Family Therapist 1920 100th St Se Ste A2, Everett, WA 98208-3832 2007-05-18
1114035805 Stacy Fennell Physical Therapist 1131 W Arbrook Blvd, Arlington, TX 76015-4206 2006-08-25

Office Location

Street Address 3851 ROGER BROOKE DR
MCHE-EMR
City FORT SAM HOUSTON
State TX
Zip Code 78234-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912903931 Doreen M. Lounsbery Internal Medicine 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 2005-06-23
1821561853 Jessica Dolan Dietitian, Registered 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 2019-01-02
1851842306 Michael Stablein Student in an Organized Health Care Education/Training Program 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 2016-10-19
1588114078 Daniel Hamilton Optometrist 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 2016-10-07
1932657756 Erica Russell Physical Therapist 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 2016-09-21
1437502887 Glenn Wayne Brietzke Jr. Dietitian, Registered 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 2016-07-21
1023483013 Christine Setty Student in an Organized Health Care Education/Training Program 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 2015-12-02
1487024642 Deserae Gonzalez Social Worker 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 2015-09-30
1871969014 Antoine Williams II Registered Nurse 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 2015-08-11
1033503990 Eldon Snyder General Practice 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 2015-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 2020-03-20
1235793407 Jessica Maria May Franklin Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 2019-04-23
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1053805515 Rene Espinosa Social Worker San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 2018-06-19
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
Find all providers in zip 78234

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073043030 Phillip Michael Kemp Bohan General Practice 3551 Roger Brooke Drive, Mche-qd, Brooke Army Medical Center, Fort Sam Houston, TX 78234-4505 2017-06-13
1346621380 Rachel Marie Rose General Practice 3551 Roger Brooke Dr # Drive-qd, Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504 2015-06-16
1275592743 Robert Stephen Klepatz General Practice Bamc-3851 Roger Brooke Drive,mche-qd (creds), Fort Sam Houston, TX 78234-6200 2006-03-22
1497311674 Adlei B Carlson General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2019-05-14
1831682921 Stephanie Satchell General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2018-06-13
1154814556 Brandon James Leighton General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2018-06-11
1669965976 Samuel Hardy Thueson General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2018-06-11
1790276855 Robert Burnham Laverty Jr. General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2018-05-24
1043709066 Kelley Marie Sonney General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 2018-05-04
1164919676 Lance Nissley General Practice 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2018-04-19
Find all providers in FORT SAM HOUSTON

Competitor

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City FORT SAM HOUSTON
Zip Code 78234

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Dataset Information

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.

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