Stacey D Knapp (NPI# 1104826569, PAC ID# 6204800857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104826569 |
| PAC ID by PECOS | 6204800857 |
| Professional Enrollment ID | I20040820000565 |
| Full Name | Stacey D Knapp |
| Organization Legal Name | GREAT PLAINS MEDICAL FOUNDATION |
| Address |
3500 Nw 56th St Suite 100 Oklahoma City OK 73112-4517 |
| Phone Number | 4059512858 |
| Gender | F |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9335188184 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 | 4059512858 | GREAT PLAINS MEDICAL FOUNDATION |
| Organization Legal Name | GREAT PLAINS MEDICAL FOUNDATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tomas P Owens | Family Medicine | Great Plains Medical Foundation | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 |
| Terrence T Truong | Family Medicine | Great Plains Medical Foundation | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 |
| Philip Palmer | Family Medicine | Great Plains Medical Foundation | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 |
| Neal Clemenson | Family Practice | Great Plains Medical Foundation | 3500 Nw 56th St, Oklahoma City, OK 73112-4517 |
| Street Address |
3500 NW 56TH ST SUITE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73112-4517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tomas P Owens | Family Medicine | Great Plains Medical Foundation | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 |
| Ralph B Hester Iii | Ophthalmology | Dean Mcgee Eye Institute | 3500 Nw 56th St, Suite 101, Oklahoma City, OK 73112-4517 |
| Terrence T Truong | Family Medicine | Great Plains Medical Foundation | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 |
| Philip Palmer | Family Medicine | Great Plains Medical Foundation | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4517 |
| Tasha J Schellenberg | Optometry | Dean Mcgee Eye Institute | 3500 Nw 56th St, Suite 101, Oklahoma City, OK 73112-4517 |
| Neal Clemenson | Family Practice | Great Plains Medical Foundation | 3500 Nw 56th St, Oklahoma City, OK 73112-4517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Byron Gentry | Chiropractic | 4435 Nw36th St A, Oklahoma City, OK 73112 | |
| Xiomara J Porras | Nurse Practitioner | 6301 N Meridian Ave, Suite 103, Oklahoma City, OK 73112-1267 | |
| Dwight P Moyer | Chiropractic | 6301 N Meridian Ave, Suite 101, Oklahoma City, OK 73112-1267 | |
| David T Rothwell | Family Medicine | 6312 N Portland, Parcway Rehab Ctr, Oklahoma City, OK 73112-1463 | |
| Laurie Jill Hast | Diagnostic Radiology | 5800 N Portland Ave, Oklahoma City, OK 73112-1661 | |
| Roy W Bankhead | Urology | Medical Specialists Inc | 5700 N Portland Ave, Suite 100, Oklahoma City, OK 73112-1662 |
| Bassam Arodak | Endocrinology | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 220, Oklahoma City, OK 73112-1670 |
| Lauranne Harris | Obstetrics/gynecology | 3300 Nw Expressway, Oklahoma City, OK 73112-1670 | |
| Edward Duane Jones | Ophthalmology | 5701 N Portland Ave, Suite 105, Oklahoma City, OK 73112-1670 | |
| Amy Christina Costner | Nurse Practitioner | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 320, Oklahoma City, OK 73112-1670 |
| Find all physicians in zip 73112 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OKLAHOMA CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stacey D Knapp.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.