STEPHANIE STEPHENS MD PA (NPI# 1699038562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699038562 |
| Entity Type | Organization |
| Organization Name | STEPHANIE STEPHENS MD PA |
| Practice Address |
1015 N Carroll Ave Suite 2000 Dallas TX 75204-6613 |
| Practice Telephone | 2148247744 |
| Practice Fax Number | 2148247755 |
| Mailing Telephone | 2148247744 |
| Mailing Fax Number | 2148247755 |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |
| Authorized Official Name | STEPHANIE STEPHENS (OWNER) |
| Authorized Official Telephone | 2148247744 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
L8203 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1015 N CARROLL AVE SUITE 2000 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615223 | Donald O Ozumba | Orthopaedic Surgery | 1015 N Carroll Ave, Suite #2000, Dallas, TX 75204-6613 | 2005-08-10 |
| 1235502048 | Lauren Elyse Penn | Specialist/Technologist, Other | 1015 N Carroll Ave, #2000, Dallas, TX 75204-6613 | 2015-11-03 |
| 1184049546 | Jason Randall Wishin Sr. | Physical Therapist | 1015 N Carroll Ave, Suite 104, Dallas, TX 75204-6613 | 2014-02-21 |
| 1073886529 | Andrea Kay Ivey | Physical Therapist | 1015 N Carroll Ave, Ste 104, Dallas, TX 75204-6613 | 2012-02-14 |
| 1588856728 | Donald A Randolph, Jr., Md, Pa | Orthopaedic Surgery | 1015 N Carroll Ave, #2000, Dallas, TX 75204-6604 | 2007-08-13 |
| 1124218748 | Brett Franks | Physician Assistant | 1015 N Carroll Ave, #2000, Dallas, TX 75204-6604 | 2007-07-30 |
| 1215131800 | Kyle David Stuart | Orthopaedic Surgery | 1015 N Carroll Ave, Suite 2000, Dallas, TX 75204-6613 | 2007-06-14 |
| 1558373423 | Shawn C Bonsell | Orthopaedic Surgery | 1015 N Carroll Ave, # 2000, Dallas, TX 75204-6613 | 2006-08-12 |
| 1730137225 | Tandy Rice Freeman IIi | Specialist | 1015 N Carroll Ave, Suite 103, Dallas, TX 75204-6613 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295163012 | John E. Mcgarry, M.d. P.a. | Orthopaedic Surgery | 16970 Dallas Pkwy, Suite 500, Dallas, TX 75248-1915 | 2013-10-15 |
| 1568788537 | Karim Anthony Meijer | Orthopaedic Surgery | 6901 Snider Plz Ste 200, Dallas, TX 75205-5651 | 2010-04-15 |
| 1316971740 | Robert Eugene Berry | Orthopaedic Surgery | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2006-07-10 |
| 1962480921 | Bruce Scott Markman | Orthopaedic Surgery | 12400 Coit Rd, Dallas, TX 75251-2069 | 2006-01-09 |
| 1083615223 | Donald O Ozumba | Orthopaedic Surgery | 1015 N Carroll Ave, Suite #2000, Dallas, TX 75204-6613 | 2005-08-10 |
| 1720089899 | Don Alex Buford | Orthopaedic Surgery | 1015 N Carroll Ave Ste 2000, Dallas, TX 75204-6607 | 2005-08-10 |
| 1376543090 | Tarek O Souryal | Orthopaedic Surgery | 6901 Snider Plz, #200, Dallas, TX 75205-5648 | 2005-07-22 |
| 1578112264 | Aashmd Pllc | Orthopaedic Surgery | 1015 N Carroll Ave Ste 2000, Dallas, TX 75204-6607 | 2019-09-05 |
| 1518434372 | Kyle Callahan | Orthopaedic Surgery | 9301 N Central Expy, Dallas, TX 75231-0806 | 2018-10-30 |
| 1952643744 | Christopher Laurence Mccrum | Orthopaedic Surgery | 1801 Inwood Rd., Dallas, TX 75390-8882 | 2013-03-20 |
| Find all providers in DALLAS | ||||
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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.