Active NPI
Janice Stachowiak, M.D.
- Internal Medicine Physician
- Lubbock, TX
National Provider Identifier
1013906247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K3013
- Practice address
- 3601 4TH St
Lubbock, TX 79430-9410 - Phone
- (806) 743-3150
- Fax
- (806) 743-3168
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K3013 | TX | Primary |
Addresses
Primary practice location
3601 4TH St
Lubbock, TX 79430-9410
Mailing address
PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-2898
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86E875 | Other | TX | BC/BS |
| 124624100 | Medicaid | TX | |
| A159 | Other | NM | TRIWEST |
| 100154530A | Medicaid | OK | |
| 105159102 | Medicaid | TX | |
| 124624101 | Other | TX | FIRSTCARE COMMERCIAL |
| 68857 | Medicaid | NM | |
| 80853Z | Other | TX | HMO BLUE |
| 105159101 | Medicaid | TX | |
| Q5263 | Medicaid | NM | |
| 68857 | Other | NM | PRESBYTERIAN COMMERCIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3013 | TX | MD | Internal Medicine Physician |
Interoperability endpoints
- janice.stachowiak@direct.myteamcare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1013906247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27476",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270476",
"telephone_number": "806-743-2898",
"fax_number": "806-743-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794309410",
"telephone_number": "806-743-3150",
"fax_number": "806-743-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHOWIAK",
"first_name": "JANICE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K3013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "86E875",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124624100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A159",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100154530A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105159102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE COMMERCIAL",
"identifier": "124624101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68857",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "80853Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105159101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q5263",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "68857",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- James Thomas St Clair, D.D.S.
- John Robert St Clair, D.D.S., M.S., P.A.
- Kansas Marie St Clair, FNP
- St. Clair and St. Clair Orthodontics
- St. Francis Community Services in Texas, Inc.
- Hailee Rae Stacy, DPT
- Susan Stafford, M.S. CCC-SLP
- Stages of Recovery, Inc
- Stages of Recovery, Inc
- Obie Lee Stalcup, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.