Stephanie Hallacy (NPI# 1164762274, PAC ID# 8426352923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164762274 |
| PAC ID by PECOS | 8426352923 |
| Professional Enrollment ID | I20160203001554 |
| Full Name | Stephanie Hallacy |
| Organization Legal Name | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| Address |
444 Four States Dr Galena KS 66739-4324 |
| Phone Number | 6207834441 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193727501 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
| 260001 | MERCY HOSPITAL JOPLIN |
| Address | Phone | Organization |
|---|---|---|
| 444 Four States Dr, Galena, KS 66739-4324 | 6207834441 | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| 1121 Neo Loop, Grove, OK 74344-6046 | 6207834441 | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| Organization Legal Name | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Vogt | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Mark E Mcnemar | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Rhonda R Stork | Physical Therapy | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Joshua Sweet | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Eugerie Altagrace Hanley | Physical Medicine and Rehabilitation | Orthopaedic Specialists of The Four States, LLC | 1504 Se 28th St, Bentonville, AR 72712-3988 |
| Jessica Kirk | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Toby G Moore | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 1121 Neo Loop, Grove, OK 74344-6046 |
| Echo Mills | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| David G Blancho | Podiatry | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Lloyd R Holloway | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Street Address |
444 FOUR STATES DR |
| City | GALENA |
| State | KS |
| Zip | 66739-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Vogt | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Rhonda R Stork | Physical Therapy | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Joshua Sweet | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Jessica Kirk | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Echo Mills | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Jickie Parker | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Danielle R Davidson | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 444 Four States Dr, Suite 2, Galena, KS 66739-4325 |
| Joseph M Graham | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Katie L Marsh | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Christopher D Jones | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Keith A Mallatt | Optometry | 719 E 7th St, Galena, KS 66739-1703 | |
| Christopher H Roberts | Obstetrics/gynecology | Incontinence and Osteoporosis Center LLC | 198 Four States Dr, Suite 1, Galena, KS 66739-4305 |
| Lindsey Rawlins | Nurse Practitioner | Manzer Family Medicine LLC | 1605, K66 Suite A, Galena, KS 66739-4306 |
| Regan M Gass | Nurse Practitioner | Manzer Family Medicine,llc | 1605 K66, Galena, KS 66739-4306 |
| Don D Enyart | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Karen L Sapp | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Buffy L Bunce | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Nancy Stultz | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Sandra K Main | Clinical Psychologist | Manzer Family Medicine,llc | 1605 K66, Galena, KS 66739-4306 |
| Find all physicians in zip 66739 | |||
| City | GALENA |
| Zip Code | 66739 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GALENA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie Hallacy.
| 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.