JOHNNY DALE STACKHOUSE (NPI# 1952569626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952569626 |
Entity Type | Individual |
Full Name | JOHNNY DALE STACKHOUSE |
Credential | DO |
Practice Address |
910 S Donahue Dr Auburn AL 36832-2975 |
Practice Telephone | 3344424012 |
Mailing Telephone | 3344424012 |
Enumeration Date | 2008-05-29 |
Last Update Date | 2016-07-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | DO.1476 | AL | Allopathic & Osteopathic Physicians |
Street Address |
910 S DONAHUE DR |
City | AUBURN |
State | AL |
Zip Code | 36832-2975 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959599 | Caroline Pupke | Student in an Organized Health Care Education/Training Program | 910 S Donahue Dr, Auburn, AL 36832-2975 | 2020-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700416203 | Taylor Lane Kellogg | Student in an Organized Health Care Education/Training Program | 2038 Lee Road 137 Lot 310, Auburn, AL 36832 | 2020-01-23 |
1093270886 | Jose Antonio Prieto | Specialist/Technologist | 2005 Downs Way, Auburn, AL 36832 | 2019-02-05 |
1659846087 | Jason Gilleland | Dietitian, Registered | 258 Tallyho Dr, Auburn, AL 36832 | 2018-10-12 |
1972059814 | Southeast Vision LLC | Eyewear Supplier (Equipment, not the service) | 106 West Veterans Drive, Auburn, AL 36832 | 2016-08-31 |
1417308156 | Robert Brooks | Specialist/Technologist | 623 Deer Run Road, Auburn, AL 36832 | 2016-06-23 |
1144680612 | Vincent N Jones | Pharmacist | 1810 Shug Jordan Pkwy, Auburn, AL 36832 | 2016-02-26 |
1912378563 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1810 Shug Jordan Parkway, Auburn, AL 36832 | 2015-10-08 |
1629384847 | Christie Jones | Physical Therapist | 560 Devall Dr, Auburn, AL 36832 | 2010-08-25 |
1336215680 | Auburn Spine & Neurosurgery Center, PC | Neurological Surgery | 560 Devall Drive, Suite 301, Auburn, AL 36832 | 2006-11-28 |
1902816176 | Catherine Elizabeth Douier-donald | Dentist | 1452 Opelika Rd, Ste E, Auburn, AL 36832 | 2006-08-09 |
Find all providers in zip 36832 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
1235492182 | Mark D Garcia | Family Medicine | 205 10th St Ne Ste 200, Auburn, WA 98002 | 2012-06-15 |
1508127796 | Family Health Clinic, Inc | Family Medicine | 1456 Opelika Rd, Auburn, AL 36830-3318 | 2012-06-04 |
1194052506 | Access Healthcare, Pllc | Family Medicine | 1402 Lake Tapps Parkway East, Suite F 106, Auburn, WA 98092-8157 | 2009-11-05 |
1407099286 | Primary Medicine Associates, LLC | Family Medicine | 890 N Dean Rd, Suite 500, Auburn, AL 36830-9440 | 2009-04-09 |
1952560765 | Sarat Meka | Family Medicine | 1518 Professional Parkway, Suite A, Auburn, AL 36830 | 2008-06-06 |
1831306000 | Louis James Fisher Jr. | Family Medicine | 8436 Wise Rd, Auburn, CA 95603-9734 | 2007-05-17 |
1255547352 | Armstrong Family Medicine PC | Family Medicine | 1310 E 7th St Ste G, Auburn, IN 46706-2518 | 2007-05-15 |
1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
1073632824 | Florentine Reilly Worden | Family Medicine | 5199 West Lake Road, Auburn, NY 13021 | 2007-03-29 |
Find all providers in AUBURN |
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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.