Katherine Stachowicz (NPI# 1851745251, PAC ID# 2365735628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851745251 |
| PAC ID by PECOS | 2365735628 |
| Professional Enrollment ID | I20190821000489 |
| Full Name | Katherine Stachowicz |
| Organization Legal Name | SOUTHERN HEALTH CORP OF HOUSTON, INC. |
| Address |
1002 E Madison St Trace Regional Hospital Houston MS 38851-2428 |
| Phone Number | 6624561163 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042102352 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 250017 | TRACE REGIONAL HOSP AND SWING BED |
| Address | Phone | Organization |
|---|---|---|
| 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 | 6624561163 | SOUTHERN HEALTH CORP OF HOUSTON, INC. |
| 301 Riverview Ave, Suite 710, Norfolk, VA 23510-1064 | 7572529010 | SENTARA MEDICAL GROUP |
| Organization Legal Name | SOUTHERN HEALTH CORP OF HOUSTON, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Kirkham Gore | General Practice | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Shailesh V Patel | Internal Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Robert David Herring Jr. | Family Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Jamie D Castillo | Internal Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Zvi Marom | Emergency Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Street Address |
1002 E MADISON ST TRACE REGIONAL HOSPITAL |
| City | HOUSTON |
| State | MS |
| Zip | 38851-2428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Kirkham Gore | General Practice | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Anita J Falls | Nurse Practitioner | Victor Horn | 1002 E Madison St, Suite 2, Houston, MS 38851-2428 |
| Shailesh V Patel | Internal Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Robert David Herring Jr. | Family Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Jamie D Castillo | Internal Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Amanda Brand Mahan | Nurse Practitioner | Victor Horn | 1002 E Madison St, Suite 2, Houston, MS 38851-2428 |
| Albert V Horn | Family Medicine | Victor Horn | 1002 E Madison St, Suite 2, Houston, MS 38851-2428 |
| Zvi Marom | Emergency Medicine | Southern Health Corp of Houston, Inc. | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Joann K Schnegg | Family Practice | Southern Heatlh Corp. of Houston, Inc | 1002 E Madison St, Trace Regional Hospital, Houston, MS 38851-2428 |
| Walter B Edington | Nurse Practitioner | Southern Health Corp of Houston,inc. | 1002 E Madison St, Houston, MS 38851-2428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Allan Powell | Optometry | 812 N Jackson St, Houston, MS 38851-1203 | |
| Christopher W Lancaster | Clinical Social Worker | 105 W Hamilton St, Houston, MS 38851-2209 | |
| Joseph L Rutherford | Chiropractic | 332 E Madison St, Houston, MS 38851-2321 | |
| Angela Furr | Nurse Practitioner | North Mississippi Medical Clinics Inc | 208 Country Club Rd, Houston, MS 38851-9326 |
| Samuel K Box | Family Medicine | North Mississippi Medical Clinics Inc | 208 Country Club Rd, Houston, MS 38851-9326 |
| Kunthavai S Patel | Family Medicine | North Mississippi Medical Clinics Inc | 208 Country Club Rd, Houston, MS 38851-9326 |
| City | HOUSTON |
| Zip Code | 38851 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOUSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Katherine Stachowicz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.