STACEY LYNN CLANCY (NPI# 1649372202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649372202 |
| Entity Type | Individual |
| Full Name | STACEY LYNN CLANCY |
| Other Name | MISS STACEY L MURRAY |
| Credential | MD |
| Practice Address |
10345 Watson Rd St Louis MO 63127 |
| Practice Telephone | 3149656033 |
| Practice Fax Number | 3149656067 |
| Mailing Telephone | 3149656033 |
| Mailing Fax Number | 3149656067 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 112661 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE NUMBER 95124 | 95124 | 01 |
| Street Address |
10345 WATSON RD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952413023 | Frederick Vincent Behm | Obstetrics & Gynecology | 10345 Watson Rd, St Louis, MO 63122 | 2006-08-31 |
| 1821280660 | Probst Behm Clancy Obgyn Serv PC | Obstetrics & Gynecology | 10345 Watson Rd, St Louis, MO 63127 | 2007-08-15 |
| 1538270624 | James Raymond Probst | Obstetrics & Gynecology | 10345 Watson Rd, St Louis, MO 63127 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447523485 | Andrew Evangelos Galakatos | Obstetrics & Gynecology | 4911 Barnes-jewish Hospital Plaza, Wusm 8064, St Louis, MO 63110-1093 | 2012-02-22 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| 1639230642 | John Brian Bennett | Obstetrics & Gynecology | St Anthonys Medical Center, St Louis, MO 63128-2106 | 2006-12-13 |
| 1265593271 | Amadu Padama Ortillo | Obstetrics & Gynecology | St Anthonys Medical Center 1, St Louis, MO 63128 | 2006-12-13 |
| 1952413023 | Frederick Vincent Behm | Obstetrics & Gynecology | 10345 Watson Rd, St Louis, MO 63122 | 2006-08-31 |
| 1225146582 | Jerome David Sachar | Obstetrics & Gynecology | 3023 N Ballas, Ste 440d, St Louis, MO 63131 | 2006-08-28 |
| 1982712246 | Plaza Obgyn Inc | Obstetrics & Gynecology | One Barnes Jewish Hospital Plaza, Ste 16306, St Louis, MO 63110 | 2006-08-28 |
| 1063458305 | St Ann Ob Gyn Inc | Obstetrics & Gynecology | 3009 N Ballas Road, Suite 356c, St Louis, MO 63131-2322 | 2006-06-22 |
| 1215457882 | Kristine Erin Brown | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plaza, St Louis, MO 63110 | 2017-06-23 |
| 1740341759 | Ivonne L Negron | Obstetrics & Gynecology | 10010 Kennerly Rd, St Louis, MO 63128-2106 | 2006-12-13 |
| Find all providers in ST LOUIS | ||||
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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.