STACEY DENISE MOORE (NPI# 1982887493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982887493 |
| Entity Type | Individual |
| Full Name | STACEY DENISE MOORE |
| Credential | M.D. |
| Practice Address |
1550 First Colony Blvd Sugar Land TX 77479-4000 |
| Mailing Address |
20211 Cypresswood Estates Run Apt 4718 Spring TX 77373-3295 |
| Practice Telephone | 2812756065 |
| Mailing Telephone | 8324964855 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M8193 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
036139932 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8CA598 | 01 |
| TX | 196912302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558872341 | Stacey Brigham Moore | Day Training, Developmentally Disabled Services | 4321 Nw State Road 270, Bristol, FL 32321-2303 | 2017-10-19 |
| 1184153553 | Stacey Hurst Moore | Counselor | 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 | 2017-06-08 |
| 1386075331 | Stacey Moore | Dietitian, Registered | 5124 Roemer Lane, Sacramento, CA 95820-3033 | 2013-12-02 |
| 1942310404 | Stacey Moore | Pharmacist | 2418 Sylvester Rd, Albany, GA 31705-2468 | 2006-08-30 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1457837452 | Stacey D Moore | Dental Hygienist | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2018-07-13 |
| 1184079873 | Stacey Marie Moore | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2016-04-29 |
| 1174913297 | Stacey Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2015-01-27 |
| 1225210206 | Stacey L Moore | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2007-11-30 |
| 1275684268 | Stacey J Moore | Registered Nurse | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2007-01-16 |
| Street Address |
1550 FIRST COLONY BLVD |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088412 | Triumph Southwest, Lp | Long Term Care Hospital | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2005-07-26 |
| 1881227015 | Triumph Southwest, Lp | Rehabilitation Unit | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2020-02-17 |
| 1871076133 | Nnenna Lilian Emehel | Nurse Practitioner | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2018-09-12 |
| 1871049577 | Patient Care Partners | Internal Medicine | 1550 First Colony Blvd, Kindred Hospital Sugar Land, Sugar Land, TX 77479 | 2016-09-01 |
| 1205123916 | Knd Development 59 LLC | Hospitalist | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2011-07-01 |
| 1639354475 | Hospital Inpatient Group Pllc | Internal Medicine | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578983839 | John Abdelsayed | Surgery | 17510 W Grand Pkwy S Ste 490, Sugar Land, TX 77479-2649 | 2014-04-24 |
| 1942328778 | Rizwan M Chaudhry | Surgery | 1429 Highway 6 Ste 304, Sugar Land, TX 77478-5135 | 2007-03-27 |
| 1477649929 | Swarna Balasubramaniam | Surgery | 20403 University Blvd Ste 600, Sugar Land, TX 77478-4978 | 2006-10-04 |
| 1952406449 | Rao Inala | Surgery | 5238 Meadow Landing Ln, Sugar Land, TX 77479-4293 | 2006-09-13 |
| 1154300903 | Khaja Moinuddeen | Surgery | 4911 Sandhill Dr, Sugar Land, TX 77479-5320 | 2006-01-11 |
| 1467002931 | Imed Surgical of Sugar Land, PC | Surgery | 6350 Highway 90a Ste 700, Sugar Land, TX 77498-2023 | 2019-09-17 |
| 1083035711 | Houston Southwest Colon and Rectal Clinic, Pllc | Surgery | 1400 Creek Way Dr, Suite 100, Sugar Land, TX 77478-4072 | 2013-12-24 |
| 1013342484 | Qualified Surgical Services Pllc | Surgery | 1400 Creek Way Dr, Suite 201a, Sugar Land, TX 77478-4072 | 2013-09-04 |
| 1912286048 | Neel Srikishen | Surgery | 16659 Southwest Fwy Ste 401, Sugar Land, TX 77479-2378 | 2011-08-07 |
| 1598093148 | Templeton Breast Care, P.a. | Surgery | 16659 Southwest Fwy, Suite 561, Sugar Land, TX 77479-2375 | 2009-11-19 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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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.