DONNIE R. STACY (NPI# 1659389039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659389039 |
| Entity Type | Individual |
| Full Name | DONNIE R. STACY |
| Credential | M.D. |
| Practice Address |
3920 S Dupont Sq Louisville KY 40207-4615 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 5027210116 |
| Practice Fax Number | 8122856010 |
| Mailing Telephone | 8122823899 |
| Mailing Fax Number | 8122824172 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036-110971 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | K008661 | 05 |
| Street Address |
3920 S DUPONT SQ |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871935825 | Barrett M Teague | Nurse Practitioner | 3920 S Dupont Sq, Louisville, KY 40207-4615 | 2013-07-18 |
| 1740537562 | Brittnie Smith | Nurse Practitioner | 3920 S Dupont Sq, Louisville, KY 40207-4615 | 2012-08-10 |
| 1104183953 | First Urology, Psc | Nurse Practitioner | 3920 S Dupont Sq, Louisville, KY 40207-4615 | 2012-04-18 |
| 1891834735 | Jaclyn M Culver | Registered Nurse | 3920 S Dupont Sq, Ste C, Louisville, KY 40207-4615 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211341 | Alden Klarer | Radiology | 529 South Jackson, Internal Medicine, Acb 3rd Floor, Louisville, KY 40202-1622 | 2015-04-04 |
| 1699844910 | Birkhead, Eckman & Scharf, P.s.c. | Radiology | 4003 Kresge Way Ste 115, Louisville, KY 40207-4652 | 2006-11-08 |
| 1629175393 | Shiao Y Woo | Radiology | 529 S, Jackson Street, Radiation Oncology, Brown Cancer Center, Louisville, KY 40202 | 2006-09-17 |
| 1770698169 | Craig Lyle Silverman | Radiology | 529 South Jackson Street, Louisville, KY 40202 | 2006-08-19 |
| 1851386767 | Mark R. Jones | Radiology | 4500 Churchman Ave, Suite 100, Louisville, KY 40215-1143 | 2005-09-16 |
| 1063843415 | University of Louisville Research Foundation | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2013-12-11 |
| 1487097390 | Scott Richard Silva | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2013-04-10 |
| 1679816920 | Dan Ishihara | Radiology | 315 E Broadway Fl 4, Louisville, KY 40202 | 2013-04-04 |
| 1629395223 | Harriet Belding Eldredge-hindy | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2010-04-23 |
| 1568635332 | Yong Cha | Radiology | 676 S Floyd St, Louisville, KY 40202-1840 | 2008-04-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.