JENNIFER R STALKUP MD PA (NPI# 1245654664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245654664 |
| Entity Type | Organization |
| Organization Name | JENNIFER R STALKUP MD PA |
| Practice Address |
6100 Windhaven Pkwy Plano TX 75093-8046 |
| Practice Telephone | 9726080330 |
| Practice Fax Number | 2146151800 |
| Mailing Telephone | 9726080330 |
| Mailing Fax Number | 2146151800 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JENNIFER STALKUP (PRESIDENT) |
| Authorized Official Telephone | 9726080330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M1368 | TX | Other Service Providers |
| Street Address |
6100 WINDHAVEN PKWY |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787067 | Michael J. Wells | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093 | 2005-06-01 |
| 1275054272 | Natalie A. Wright Md Pllc | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-06-29 |
| 1265978084 | Michael J Wells Mdpa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-01-18 |
| 1003364712 | Hodges Dermatology, Pllc | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2016-09-12 |
| 1457726846 | Elizabeth Debry Carter | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2015-12-10 |
| 1043658198 | Jennifer Marie Snipes | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-06-11 |
| 1114363488 | Gunjan M. Modi, M.d., P.a. | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-05-14 |
| 1699119610 | Brooke Mohr Renkes | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-04-21 |
| 1699092866 | Natalie Ann Wright | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2010-04-28 |
| 1952623696 | Sheree Patel | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2010-02-22 |
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| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
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| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1861814196 | Candlewood Suites Plano East | Specialist | 2401 E President George Bush Hwy, Plano, TX 75074-8355 | 2014-01-06 |
| 1780943480 | Ranger Neurophysiology, P.a. | Specialist | 4100 15th Street, Suite 206, Plano, TX 75093-5803 | 2012-05-15 |
| 1457643207 | Theresa Lee Bradley | Specialist | 8309 Bartley Cir, Plano, TX 75025-4319 | 2011-05-12 |
| 1225367659 | Shalini Katikaneni Md Pa | Specialist | 7509 New Heart Dr, Plano, TX 75024-3973 | 2009-12-14 |
| 1700045200 | Pediatric Offices At Willow Bend | Specialist | 6529 W Plano Pkwy, Suite B, Plano, TX 75093-8209 | 2008-06-09 |
| 1568641603 | Natan Yaker | Specialist | 4100 W 15th Street, Suite 106, Plano, TX 75093 | 2007-10-25 |
| 1790970192 | Shannon Leigh Benoy | Specialist | 1901 Lake Hill Ln, Plano, TX 75023-7457 | 2007-09-09 |
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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.