STACEY ANN SOUTH (NPI# 1336368547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336368547 |
Entity Type | Individual |
Full Name | STACEY ANN SOUTH |
Credential | M.D. |
Practice Address |
3425 University Pkwy Unit 102 Sarasota FL 34243-4271 |
Mailing Address |
3425 University Pkwy Suite 102 Sarasota FL 34243-4241 |
Practice Telephone | 9417467507 |
Practice Fax Number | 9413512668 |
Mailing Telephone | 9417467507 |
Mailing Fax Number | 9413512668 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2016-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
ME101589 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 236615 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962515031 | Stacey M South | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 | 2006-08-15 |
Street Address |
3425 UNIVERSITY PKWY UNIT 102 |
City | SARASOTA |
State | FL |
Zip Code | 34243-4271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
Find all providers in zip 34243 |
Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063670255 | Women's Choice Oncology, Pllc | Obstetrics & Gynecology | 3425 University Parkway Unit 102, Sarasota, FL 34243 | 2008-05-25 |
1073990032 | Toni Picerno Kilts | Obstetrics & Gynecology | 1888 Hillview St, Sarasota, FL 34239-3605 | 2015-04-29 |
1932497245 | Beverly Jean Long | Obstetrics & Gynecology | 1888 Hillview St, Sarasota, FL 34239-3605 | 2011-07-20 |
1689665424 | Smh Physician Services Inc | Obstetrics & Gynecology | 1888 Hillview St, Sarasota, FL 34239-3605 | 2005-11-01 |
1235129347 | James Vincent Fiorica | Obstetrics & Gynecology | 1888 Hillview St, Sarasota, FL 34239-3605 | 2005-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1851738793 | Christopher De Haydu | Obstetrics & Gynecology | 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 | 2013-06-02 |
1811330897 | Maria Paula Ruiz | Obstetrics & Gynecology | 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 | 2013-04-09 |
1992005086 | Jocelyn Garcia-sayre | Obstetrics & Gynecology | 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 | 2010-10-24 |
1063641827 | Kenneth Daniel Webster | Obstetrics & Gynecology | 3825 Sw 86th St., Gainesville, FL 32608-7901 | 2009-07-14 |
1942444526 | Mostafa A Selim | Obstetrics & Gynecology | 338 Wellington Dr., Palm Coast, FL 32164 | 2009-04-27 |
1912197641 | Gyn Oncology Associates Pl | Obstetrics & Gynecology | 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 | 2007-07-30 |
1982766044 | Philip Townsend Md Pa | Obstetrics & Gynecology | 675 Harvard St, Brooksville, FL 34601-2823 | 2006-12-15 |
1730279670 | Antonella Restivo Leary | Obstetrics & Gynecology | 3401 Pga Blvd., Suite 200, Palm Beach Gardens, FL 33410-2824 | 2006-10-13 |
1801983275 | Grainger S Lanneau Jr. | Obstetrics & Gynecology | 1130 S. Hickory Street Suite B, Melbourne, FL 32901-5417 | 2006-10-06 |
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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.