STEPHANIE MICHELLE OLIVER (NPI# 1548505001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548505001 |
| Entity Type | Individual |
| Full Name | STEPHANIE MICHELLE OLIVER |
| Other Name | STEPHANIE MICHELLE JONES |
| Credential | PA-C |
| Practice Address |
17002 Gleneagle Dr S Conroe TX 77385-4614 |
| Mailing Address |
23719 Pebworth Pl Spring TX 77373-6647 |
| Practice Telephone | 8324477123 |
| Practice Fax Number | 3463511857 |
| Mailing Telephone | 2147282789 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23719 Pebworth Pl, Spring, TX 773736647 | 2147282789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033303144 | Stephanie Yolanda Oliver | Social Worker | 4305 Mary Ave, Baltimore, MD 21206-2631 | 2007-08-31 |
| 1699396770 | Stephanie Taylor Oliver | Pharmacist | 4000 Kresge Way, Louisville, KY 40207-4605 | 2020-04-30 |
| 1376000810 | Stephanie Oliver | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-02-20 |
| 1497227078 | Stephanie Zeiders Oliver | Nurse Practitioner | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2018-12-20 |
| 1336504018 | Stephanie Oliver | Nurse Practitioner | 302 Mount Tabor Rd, Suite A, Red Springs, NC 28377-6415 | 2015-12-22 |
| 1841583648 | Stephanie Allison Oliver | Counselor | 415 W 11th St, Vancouver, WA 98660-3147 | 2011-05-26 |
| 1326219585 | Stephanie Pieroni Oliver | Speech-Language Pathologist | 1635 Boling St, Jackson, MS 39213-4418 | 2008-03-17 |
| Street Address |
17002 GLENEAGLE DR S |
| City | CONROE |
| State | TX |
| Zip Code | 77385-4614 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1518267780 | Asmita Momin | Physician Assistant | 3251 Interstate 45 North, Suite 100, Conroe, TX 77304 | 2010-10-21 |
| 1043236763 | Eduardo Francisco Limonta | Physician Assistant | 690 S Loop 336 W Ste 300, Conroe, TX 77304-3320 | 2006-07-14 |
| 1144261595 | Duyen Wolken | Physician Assistant | 2441 Westhoff Ct, Conroe, TX 77384-3366 | 2006-06-09 |
| 1023671567 | David Hoang | Physician Assistant | 503 Medical Center Blvd Ste 100, Conroe, TX 77304-2928 | 2019-04-19 |
| 1265724686 | Ruth Amanda Collier | Physician Assistant | 9297 Wahrenberger Rd, Conroe, TX 77304-2441 | 2011-05-03 |
| 1457671729 | Teiy Bun Canlas | Physician Assistant | 508 Medical Center Blvd, Conroe, TX 77304-2808 | 2010-06-09 |
| 1134361959 | Carisa K Richter | Physician Assistant | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2009-03-25 |
| 1528234044 | Taslima A Karim | Physician Assistant | 503 Medical Center Blvd, Suite 100, Conroe, TX 77304-2928 | 2008-05-05 |
| 1336226158 | Mary Ellen Gann | Physician Assistant | 3205 W Davis St, Suite B 150, Conroe, TX 77304-2039 | 2006-11-01 |
| Find all providers in CONROE | ||||
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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.