Stacey Denise Moore-olufemi (NPI# 1982887493, PAC ID# 9638239700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1982887493 |
| PAC ID by PECOS | 9638239700 |
| Professional Enrollment ID | I20081119000241 |
| Full Name | Stacey Denise Moore-olufemi |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
4801 E Sam Houston Pkwy S Pasadena TX 77505-3955 |
| Phone Number | 2819915463 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 | 2819915463 | KND DEVELOPMENT 59 LLC |
| 350 Blossom St, Webster, TX 77598-4206 | 2813167800 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
4801 E SAM HOUSTON PKWY S |
| City | PASADENA |
| State | TX |
| Zip | 77505-3955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanne L Degreaffenreidte | Neurology | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 | |
| Patrick K Briggs | Podiatry | Podiatry of Clear Lake, Pllc | 4801 E Sam Houston Pkwy S, Kindred Hosp Bay Area, Pasadena, TX 77505-3955 |
| Robert A Ochoa Jr. | General Surgery | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| Keira N Scanks | Internal Medicine | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| David P Gonzalez Gibler | Internal Medicine | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| Megan T Vu | Internal Medicine | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| Emma Cid | Internal Medicine | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| Jennifer Carpenter | Internal Medicine | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| John J Nguyen-lee | Internal Medicine | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| Kelli J Short | Nurse Practitioner | Knd Development 59 LLC | 4801 E Sam Houston Pkwy S, Pasadena, TX 77505-3955 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cami Stastny | Chiropractic | Texas Chiropractic College Foundation Inc | 5912 Spencer Hwy, Pasadena, TX 77505-1699 |
| Michael S Sheppard | Chiropractic | Texas Chiropractic College Foundation Inc | 5912 Spencer Hwy, Pasadena, TX 77505-1699 |
| Abigale R Owen | Chiropractic | Texas Chiropractic College Foundation Inc | 5912 Spencer Hwy, Pasadena, TX 77505-1699 |
| James S Zuniga | Chiropractic | Texas Chiropractic College Foundation Inc | 5912 Spencer Hwy, Pasadena, TX 77505-1699 |
| Cassie R Stinson | Chiropractic | Texas Chiropractic College Foundation Inc | 5912 Spencer Hwy, Pasadena, TX 77505-1699 |
| Moshe Allon | Neurology | Pasadena Urgent Care,pa | 6825 Spencer Hwy, Pasadena, TX 77505-1770 |
| Steven Alan Fein | Gastroenterology | Pasadena Gastroenterology Associates, P.a. | 4001 Preston Ave, Suite 125, Pasadena, TX 77505-2051 |
| Frank J Ponce Iii | Family Medicine | Occupational and Family Medicine of South Texas | 4001 Preston Ave, Suite 110, Pasadena, TX 77505-2051 |
| Jordan R Fein | Podiatry | 4001 Preston Ave, Suite 120, Pasadena, TX 77505-2051 | |
| Toby C Kirkwood | Family Medicine | Occupational and Family Medicine of South Texas | 4001 Preston Ave, Suite 110, Pasadena, TX 77505-2051 |
| Find all physicians in zip 77505 | |||
| City | PASADENA |
| Zip Code | 77505 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | PASADENA + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Stacey Denise Moore-olufemi.
| 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.