DR. THOMAS G STACKHOUSE (NPI# 1578659082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578659082 |
| Entity Type | Individual |
| Full Name | DR. THOMAS G STACKHOUSE |
| Credential | MD |
| Practice Address |
200 Bowman Dr Suite E-100 Voorhees NJ 08043-9623 |
| Mailing Address |
4 Eves Dr # A Suite 100 Marlton NJ 08053-3195 |
| Practice Telephone | 6092679400 |
| Practice Fax Number | 6092679457 |
| Mailing Telephone | 6092679400 |
| Mailing Fax Number | 6092679457 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MA46176 | NJ | Other Service Providers |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
MA46176 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | UNITED HEALTHCARE | 1243672 | 01 |
| NJ | GHI | 0065218 | 01 |
| NJ | AMERIHEALTH | 0090628000 | 01 |
| NJ | OXFORD | BNS012 | 01 |
| NJ | GREAT WEST | 157012 | 01 |
| NJ | KEYSTONE | 0090628000 | 01 |
| NJ | AETNA | 4090523 | 01 |
| NJ | HEALTHNET | 2K1291 | 01 |
| NJ | CIGNA | 3730395B | 01 |
| NJ | 1ST OPTION | 6569F02206 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124146121 | Thomas Stackhouse | Psychologist | 466 County St, New Bedford, MA 02740-5107 | 2007-03-27 |
| 1467445494 | Thomas Logan Stackhouse | Oral & Maxillofacial Surgery | 2940 Squalicum Pkwy, Ste 203, Bellingham, WA 98225-1892 | 2005-08-24 |
| Street Address |
200 BOWMAN DR SUITE E-100 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692895 | Robert B Belafsky | Specialist | 200 Bowman Dr, Suite D-285, Voorhees, NJ 08043-9623 | 2005-07-13 |
| 1588214431 | Kevin Anthony Cross | Speech-Language Pathologist | 200 Bowman Dr, Voorhees, NJ 08043-9623 | 2019-09-12 |
| 1750820809 | Amy Benedetti-ashlock | Social Worker | 200 Bowman Dr, Suite E340, Voorhees, NJ 08043-9623 | 2017-02-21 |
| 1073055273 | Kelly Harchut | Physician Assistant | 200 Bowman Dr, Suite E355, Voorhees, NJ 08043-9623 | 2016-11-06 |
| 1326595836 | Stacy Ruderman | Physician Assistant | 200 Bowman Dr, Suite 355, Voorhees, NJ 08043-9623 | 2016-09-01 |
| 1346696945 | Theresa Robinson | Registered Nurse | 200 Bowman Dr, Suite 355, Voorhees, NJ 08043-9623 | 2016-05-12 |
| 1376903435 | Ryan Omalley | Nurse Practitioner | 200 Bowman Dr, Suite 355, Voorhees, NJ 08043-9623 | 2016-03-02 |
| 1144691767 | Abby Wheeler | Physician Assistant | 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043-9623 | 2015-10-08 |
| 1952709826 | Brittany Mclarney | Genetic Counselor, MS | 200 Bowman Dr, Ste D290, Voorhees, NJ 08043-9623 | 2014-12-09 |
| 1295131696 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043-9623 | 2014-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689668 | Multi Disciplinary Specialists LLC | Surgery | 201 Route 17 N. 11th Floor, Suite 11019, Rutherford, NJ 07070-2574 | 2015-01-16 |
| 1801119417 | Hand Treatment Center Nj | Surgery | 1270 Route 35 Ste 2, Middletown, NJ 07748-2014 | 2010-03-10 |
| 1023127537 | Mark A Gurland | Surgery | 216 Engle Street, Englewood, NJ 07631 | 2006-08-29 |
| 1548295413 | North Jersey Hand Surgery Pa | Surgery | 75 Bloomfield Avenue, Suite 102, Denville, NJ 07834-2735 | 2006-07-11 |
| 1235548454 | Paramus Hand Surgery | Surgery | 140 N Rte 17, Suite 323, Paramus, NJ 07652-2809 | 2014-08-13 |
| 1396094934 | Hand & Wrist Surgery of Nj, LLC | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2012-08-29 |
| 1053581074 | Hand & Trauma Institute | Surgery | 663 Palisade Ave, Suite 302, Cliffside Park, NJ 07010-3012 | 2008-03-05 |
| 1972673713 | Hand Surgery & Rehabilitation Center of New Jersey, Pa | Surgery | 5000 Sagemore Dr, Suite 103, Marlton, NJ 08053-4307 | 2006-11-09 |
| 1780697698 | Alexander Haselkorn | Surgery | 750 Broadway, Suite D, Paterson, NJ 07514-1353 | 2006-08-14 |
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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.