ERICA DENISE STEGALL (NPI# 1235667650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235667650 |
Entity Type | Individual |
Full Name | ERICA DENISE STEGALL |
Credential | CST, CSFA |
Practice Address |
1040 S Fleishel Ave Tyler TX 75701-2031 |
Mailing Address |
185 Birch Rd Big Sandy TX 75755-4628 |
Practice Telephone | 9035338702 |
Mailing Telephone | 9033607991 |
Enumeration Date | 2017-05-30 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
173289 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1000 S Beckham Ave, Tyler, TX 757011908 | 9035318490 |
Street Address |
1040 S FLEISHEL AVE |
City | TYLER |
State | TX |
Zip Code | 75701-2031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891797429 | Mark Richard Robbins | Surgery | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2005-08-12 |
1346718400 | Lesle Jo Brewer | Specialist/Technologist, Other | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2018-11-07 |
1316308554 | Tonya Langley | Specialist/Technologist, Other | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2016-03-16 |
1760680953 | Angela Harden | Physician Assistant | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2007-07-10 |
1720293699 | Wilson Chiropractic and Acupuncture Pllc | Chiropractor | 1040 S Fleishel Ave, Suite 4, Tyler, TX 75701-2044 | 2007-05-13 |
1952439028 | Benjamin Gregg Wilson | Chiropractor | 1040 S Fleishel Ave, Suite 4, Tyler, TX 75701-2044 | 2007-03-01 |
1265544605 | Texas Health Care Group of Longview, LLC | Home Health | 1040 S Fleishel Ave, Suite A, Tyler, TX 75701-2044 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1245456375 | Mark Robbins Md Pa | Surgery | 1040 S Fleishel Ave Ste 1, Tyler, TX 75701-2031 | 2007-04-17 |
1629087663 | Richard Kenneth Willms | Surgery | 14565 Cr 1113, Tyler, TX 75703-9551 | 2006-08-07 |
1245650183 | Roy Wesley Jones | Surgery | 619 S Fleishel Ave Ste 203, Tyler, TX 75701-2067 | 2014-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
Find all providers with the same taxonomy |
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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.