STACIE MICHELLE WILSON (NPI# 1902469075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902469075 |
| Entity Type | Individual |
| Full Name | STACIE MICHELLE WILSON |
| Credential | ANP |
| Practice Address |
91 Florissant Oaks Shop Ctr Florissant MO 63031-3934 |
| Mailing Address |
9603 Whistler Ct Saint Louis MO 63114-3246 |
| Practice Telephone | 3148318600 |
| Mailing Telephone | 6362956565 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2019006496 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15945 Clayton Rd Ste 340, Ballwin, MO 630112492 | 6362565130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 1700208873 | Stacie Adrienne Wilson | Psychologist | 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 | 2014-01-09 |
| 1306112115 | Stacie Wilson | Pharmacist | 1019 Grandiflora Dr, Leland, NC 28451-7453 | 2012-03-26 |
| 1386884443 | Stacie Dionne Wilson | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2009-03-03 |
| 1720248099 | Stacie Wilson | Technician | 10 S Main St Unit B, Weaverville, NC 28787-8463 | 2008-06-11 |
| Street Address |
91 FLORISSANT OAKS SHOP CTR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356314041 | Mark A Faron | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2006-02-11 |
| 1134557770 | Amy Diane Garvey | Nurse Practitioner | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2013-10-16 |
| 1184685455 | Michael C Treisman | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2006-03-28 |
| 1811963903 | Andrew M Kazdan | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2006-02-27 |
| 1316911829 | Jeffrey C Faron | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184852592 | Gayla Jackson | Internal Medicine | 1225 Graham Rd Ste 1340, Florissant, MO 63031 | 2009-06-24 |
| 1700929155 | Quality Care Internists, LLC | Internal Medicine | 751 Saint Francois St, Florissant, MO 63031-4921 | 2007-02-15 |
| 1356409957 | Edward Allan Puro | Internal Medicine | 11115 New Hills Ferry Road, Suite 306, Florissant, MO 63033-7612 | 2006-12-05 |
| 1790734374 | Lung Care Specialist, Inc | Internal Medicine | 3533 Dunn Rd, Suite 210, Florissant, MO 63033-6761 | 2006-05-09 |
| 1245291590 | Daniel W Whitehead Jr. | Internal Medicine | 243 Dunn Rd, Florissant, MO 63031-7928 | 2006-03-28 |
| 1356314041 | Mark A Faron | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2006-02-11 |
| 1386636009 | Kim L Mcdonald | Internal Medicine | 4585 Washington St, Suite C4, Florissant, MO 63033-5858 | 2005-08-18 |
| 1801275417 | Midwest Medical Practitioners LLC | Internal Medicine | 11115 New Halls Ferry Rd, Suite 201, Florissant, MO 63033-7613 | 2015-05-28 |
| 1417374604 | Andrew Adam Bernstein Davis | Internal Medicine | 1255 Graham Rd, Ste 101, Florissant, MO 63031-8014 | 2014-03-25 |
| 1326355348 | Chandra S. Kaup,m.d.,p.c. | Internal Medicine | 1224 Graham Rd, Suite 2006, Florissant, MO 63031-8028 | 2010-09-13 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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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.