STONEHAVEN MEDICAL GROUP, PLLC (NPI# 1982202263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982202263 |
| Entity Type | Organization |
| Organization Name | STONEHAVEN MEDICAL GROUP, PLLC |
| Practice Address |
4507 Santa Rosa Dr Midland TX 79707-2260 |
| Practice Telephone | 4322310100 |
| Practice Fax Number | 4322310101 |
| Mailing Telephone | 4322310100 |
| Mailing Fax Number | 4322310101 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | DR. RICKEY W HAMBY JR. (MD/OWNER) |
| Authorized Official Telephone | 4322310100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX MEDICAL LICENSE | P7455 | 01 |
| Street Address |
4507 SANTA ROSA DR |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| 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 |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1346888625 | Kw Medical Pllc | Family Medicine | 2300 W Michigan Ave Ste 7, Midland, TX 79701-5808 | 2019-12-17 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1104351055 | Mh Health Care Services, PC | Family Medicine | 2201 Fm 715, C/o Endeavor Family Clinic, Midland, TX 79706-4211 | 2017-04-28 |
| 1407380660 | Bel Esc Wellness Pllc | Family Medicine | 2304 W Michigan Ave Ste A, Midland, TX 79701-5830 | 2017-04-14 |
| 1588078620 | Melissa Weckesser | Family Medicine | 4611 Campus Ridge, Midland, MI 48670-6122 | 2014-06-17 |
| 1619388774 | Zachary Paul Castle | Family Medicine | 3415 N Loop 250 W Bldg 4, Midland, TX 79707-6034 | 2014-05-12 |
| 1447598875 | Bhuvana Balasekaran Md Pa | Family Medicine | 1301 W Wall St, Ste C, Midland, TX 79701-6621 | 2013-01-18 |
| 1740552736 | Manish Dimri Md Pa | Family Medicine | 4817 Rangewood, Midland, TX 79707-2630 | 2012-02-06 |
| Find all providers in MIDLAND | ||||
Please comment or provide details below to improve the information on STONEHAVEN MEDICAL GROUP, PLLC.
| 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.