STEFANIE MEYER REISCH (NPI# 1740750397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740750397 |
Entity Type | Individual |
Full Name | STEFANIE MEYER REISCH |
Credential | PA-C |
Practice Address |
4809 Brentwood Stair Rd Fort Worth TX 76103-1737 |
Practice Telephone | 8177310316 |
Practice Fax Number | 8173772081 |
Mailing Telephone | 8177310316 |
Mailing Fax Number | 8173772081 |
Enumeration Date | 2018-11-27 |
Last Update Date | 2020-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | PA12527 | TX | Allopathic & Osteopathic Physicians |
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1114114279 | 05 |
Street Address |
4809 BRENTWOOD STAIR RD |
City | FORT WORTH |
State | TX |
Zip Code | 76103-1737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
1710452602 | Erica Schulte Muse Chustz | Physician Assistant | 4809 Brentwood Stair Rd, Fort Worth, TX 76103-1737 | 2018-10-08 |
1093227852 | Lashervia Williams | Urology | 4809 Brentwood Stair Rd, Fort Worth, TX 76103-1737 | 2017-11-01 |
1487077947 | Dfw Urology Consultants | Specialist | 4809 Brentwood Stair Rd, Fort Worth, TX 76103-1737 | 2014-02-03 |
1114114279 | Wayne D Hey | Urology | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
1972603603 | Tim A Davis | Chiropractor | 3751 E Lancaster Ave, Fort Worth, TX 76103 | 2006-09-23 |
Find all providers in zip 76103 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
1538422779 | George C Bailey | Urology | 4312 Heritage Trace Pkwy Ste 700, Fort Worth, TX 76244 | 2012-06-22 |
1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
1982749164 | John W Johnson IIi | Urology | 6100 Harris Pkwy Ste 225, Fort Worth, TX 76132-4126 | 2007-02-21 |
1033262605 | Rajendra Singh Chouhan | Urology | 1115 Pennsylvania Ave, Suite A, Fort Worth, TX 76104-2153 | 2007-01-18 |
1164506226 | Charles Bamberger | Urology | 416 South Henderson, Fort Worth, TX 76104-1017 | 2006-10-25 |
1114968625 | David Lawrence Gould | Urology | 900 Jerome St Ste 304, Fort Worth, TX 76104-3941 | 2006-06-08 |
1275596538 | Michael G Waters | Urology | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | 2006-04-08 |
1801859376 | Robert George Stroud | Urology | 1101 University Dr, Fort Worth, TX 76107-3012 | 2006-04-07 |
1811950397 | David R Rittenhouse | Urology | 1001 12th Ave Ste 140, Fort Worth, TX 76104-3926 | 2006-04-07 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76103 |
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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.