DR. STACY HOLDER SHEWPRASHAD (NPI# 1841443843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841443843 |
| Entity Type | Individual |
| Full Name | DR. STACY HOLDER SHEWPRASHAD |
| Other Name | DR. STACY HOLDER |
| Credential | D.P.M. |
| Practice Address |
1791 Nw 123rd Ave Pembroke Pines FL 33026-4383 |
| Practice Telephone | 9543917674 |
| Practice Fax Number | 9543746958 |
| Mailing Telephone | 9543917674 |
| Mailing Fax Number | 9543746958 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3583 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PR65 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1791 NW 123RD AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265882906 | Fernando Gonzalez Vergara, M.d, P.a | Internal Medicine | 1791 Nw 123rd Ave, Pembroke Pines, FL 33026-4383 | 2016-06-14 |
| 1447671326 | Stacy Holder Dpm Pa | Podiatrist | 1791 Nw 123rd Ave, Pembroke Pines, FL 33026-4383 | 2013-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124340435 | Bush Foot & Ankle LLC | Podiatrist | 1640 Sw 148th Ter, Pembroke Pines, FL 33027-2355 | 2010-02-28 |
| 1477740694 | Shanika L Hill | Podiatrist | 1671 Sw 120th Ave, Pembroke Pines, FL 33025-3788 | 2007-10-02 |
| 1386851822 | George Schwenck Dpm Pa | Podiatrist | 17751 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2007-05-16 |
| 1356561377 | Florida Foot & Ankle Associates, LLC | Podiatrist | 601 N. Flamingo Rd, Suite 414, Pembroke Pines, FL 33028-1015 | 2007-05-01 |
| 1902947674 | Daniel Bell | Podiatrist | 601 N Flamingo Rd Ste 208, Pembroke Pines, FL 33028-1009 | 2007-02-08 |
| 1033265533 | Leah Hilary Ford | Podiatrist | 18832 Nw 12th Ct, Pembroke Pines, FL 33029-2953 | 2007-01-26 |
| 1568510709 | Jorge M Rivera | Podiatrist | 17901 Nw 5th St Ste 106, Pembroke Pines, FL 33029-2810 | 2007-01-06 |
| 1528079787 | Michael A Rivera | Podiatrist | 601 N Flamingo Rd Ste 414, Pembroke Pines, FL 33028-1012 | 2006-08-11 |
| 1487606182 | Avriel Barnet Cohen | Podiatrist | 2299 N University Dr, Pembroke Pines, FL 33024-3611 | 2006-05-17 |
| 1134191588 | Augustine A Bollo | Podiatrist | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2006-02-01 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on DR. STACY HOLDER SHEWPRASHAD.
| 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.