STEPHANIE STACKHOUSE (NPI# 1649723420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649723420 |
| Entity Type | Individual |
| Full Name | STEPHANIE STACKHOUSE |
| Credential | M.D. |
| Practice Address |
5520 Bristol Lane Minnetonka MN 55343 |
| Mailing Address |
5520 Bristol Ln Minnetonka MN 55343-4306 |
| Practice Telephone | 9529380680 |
| Mailing Telephone | 9529380680 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
29886 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
5520 BRISTOL LANE |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| 1104235324 | Cynthia Sharp | Physical Therapy Assistant | 229 Althea Lane, Hopkins, MN 55343 | 2014-08-13 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841652146 | Deepthi Chandra Malepati | Internal Medicine | 717 Delaware Street Se, Mail Code 1932j, Minneapolis, MN 55414 | 2016-03-25 |
| 1538459755 | Maxwell David Leither | Internal Medicine | 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107 | 2011-04-08 |
| 1063650307 | Peter Paul Frohnert | Internal Medicine | 66 9th St E, Apt. 2305, Saint Paul, MN 55101-4700 | 2009-01-24 |
| 1164690475 | Paul Christian Seel | Internal Medicine | 2 Crocus Ln, Saint Paul, MN 55127-6302 | 2008-02-20 |
| 1619023918 | Vishal Sagar | Internal Medicine | 401 Phalen Blvd - Ms 41103c, Healthpartners Specialty Center 401, Saint Paul, MN 55130-5302 | 2007-01-27 |
| 1447343330 | Mark Alan Matson | Internal Medicine | 1000 Westgate Drive, Suite 149, St. Paul, MN 55114-5000 | 2006-10-02 |
| 1205945466 | Areef Ishani | Internal Medicine | 1 Veterans Dr # 111j, Minneapolis, MN 55417-2309 | 2006-08-30 |
| 1568489540 | Francis John Tycast | Internal Medicine | 19545 W Ford Brook Dr, Anoka, MN 55303-9580 | 2006-07-16 |
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1356332829 | William L Cowardin | Internal Medicine | 1200 Sixth Ave North, St Cloud, MN 58303 | 2005-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
Please comment or provide details below to improve the information on STEPHANIE STACKHOUSE.
| 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.