STACEY LOUISE DAULT (NPI# 1760775357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760775357 |
| Entity Type | Individual |
| Full Name | STACEY LOUISE DAULT |
| Other Name | STACEY LOUISE WETMORE |
| Credential | D.O. |
| Practice Address |
5010 E Shea Blvd Ste D100 Scottsdale AZ 85254-4681 |
| Mailing Address |
2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 4808827420 |
| Mailing Telephone | 6234346200 |
| Mailing Fax Number | 6234346164 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
006185 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
5010 E SHEA BLVD STE D100 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254-4681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467662403 | Bobbe Mcginley | Counselor | 5010 E Shea Blvd, Suite D-202, Scottsdale, AZ 85254-4681 | 2007-05-22 |
| 1629678586 | Higher Order Lucidity Pllc | Psychiatry & Neurology | 5010 E Shea Blvd, Scottsdale, AZ 85254-4681 | 2020-10-29 |
| 1922454594 | Quad M Med Pllc | Plastic Surgery | 5010 E Shea Blvd, Suite 175, Scottsdale, AZ 85254-4681 | 2016-05-12 |
| 1215383880 | Niagara Plastics Pllc | Plastic Surgery | 5010 E Shea Blvd, Suite 175, Scottsdale, AZ 85254-4681 | 2016-05-12 |
| 1285092049 | Act Counseling and Education | Community/Behavioral Health | 5010 E Shea Blvd, Suite 202 D, Scottsdale, AZ 85254-4681 | 2016-02-08 |
| 1124485024 | Er Plastics LLC | Plastic Surgery | 5010 E Shea Blvd, Suite 175, Scottsdale, AZ 85254-4681 | 2016-01-22 |
| 1679968184 | Brough Hamilton Stewart | Counselor | 5010 E Shea Blvd, Suite D-202, Scottsdale, AZ 85254-4681 | 2015-04-01 |
| 1457788473 | Stanley James Savoia | Counselor | 5010 E Shea Blvd, Ste D-202, Scottsdale, AZ 85254-4681 | 2013-10-04 |
| 1205188158 | Scottsdale Healthcare Corp | Family Medicine | 5010 E Shea Blvd, Ste 100, Scottsdale, AZ 85254-4681 | 2012-10-02 |
| 1376749853 | James Edward Corringon Jr. | Social Worker | 5010 E Shea Blvd, Suite D-202, Scottsdale, AZ 85254-4681 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| 1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
| 1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
| Find all providers in zip 85254 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962612069 | David G Carfagno | Family Medicine | 10133 N 92nd St, Suite 102, Scottsdale, AZ 85258-4556 | 2007-05-23 |
| 1922566694 | Robin F Macdougall, D.o., P.l.l.c. | Family Medicine | 5533 E Bell Rd Ste 109, Scottsdale, AZ 85254-1256 | 2019-03-12 |
| 1144629916 | Arizona Sports Medicine Center Plc | Family Medicine | 8630 E Via De Ventura, Suite 201, Scottsdale, AZ 85258-3326 | 2014-08-18 |
| 1740529288 | Osna Primary Care, LLC | Family Medicine | 8630 E Via De Ventura Blvd, Ste 201, Scottsdale, AZ 85258-3358 | 2013-02-04 |
| 1811233554 | Osna Primary Care, LLC | Family Medicine | 8630 E Via De Ventura, Suite 201, Scottsdale, AZ 85258-3326 | 2012-12-28 |
| 1033353354 | Matthew Brian Anastasi | Family Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2009-04-30 |
| 1548465750 | Charles S Peterson Md PC | Family Medicine | 5111 N Scottsdale Rd, Suite 101, Scottsdale, AZ 85250-7075 | 2007-06-18 |
| 1659597102 | Kyle Patrick | Family Medicine | 7449 E Osborn Rd, Suite 3, Scottsdale, AZ 85251-6448 | 2007-04-17 |
| 1982614319 | Brent S Rich | Family Medicine | 8630 E Via De Ventura Ste 201, Scottsdale, AZ 85258-3358 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790080 | Madison Medical Partners, LLC | Family Medicine | 911 W Las Palmaritas Dr, Phoenix, AZ 85021-5546 | 2020-08-11 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1285295089 | Modern Sports Medicine LLC | Family Medicine | 10450 E Riggs Rd Ste 104, Sun Lakes, AZ 85248-7759 | 2019-06-24 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1780732412 | Lynne Pirie | Family Medicine | 711 E Carefree Hwy Ste 208, North Phoenix Health Institute, Phoenix, AZ 85085-0109 | 2007-01-08 |
| 1174689988 | Summit Sports & Family Medicine PC | Family Medicine | 7717 W Deer Valley Rd, Suite 125, Peoria, AZ 85382-2102 | 2006-12-28 |
| 1942381611 | Thomas C Fiel Do PC | Family Medicine | 1840 E Baseline Rd # C-2, Tempe, AZ 85283-1527 | 2006-10-18 |
| 1477587335 | University Sports Medicine PC | Family Medicine | 15810 S 45th St Ste 101, Phoenix, AZ 85048-7695 | 2006-07-10 |
| 1760441174 | Robert Philip Luberto | Family Medicine | 7717 W. Deer Valley Rd., Suite 125, Peoria, AZ 85382 | 2006-03-23 |
| 1528039856 | Joel A. Morton | Family Medicine | 16222 N. 59th Ave, Suite A100, Glendale, AZ 85306-1705 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
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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.