JOHNNY DALE STACKHOUSE


Address: 910 S Donahue Dr, Auburn, AL 36832-2975
Phone: 3344424012

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine DO.1476 AL Allopathic & Osteopathic Physicians

Office Location

Street Address 910 S DONAHUE DR
City AUBURN
State AL
Zip Code 36832-2975

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City AUBURN
Zip Code 36832

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Dataset Information

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.

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