Active NPI
Stacy Randolph Stephens, M.D.
- Gynecology Physician
- Plano, TX
National Provider Identifier
1114944766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D5324
- Practice address
- 6200 W Parker Rd
Mob 1 Suite 502
Plano, TX 75093-7939 - Phone
- (972) 312-1309
- Fax
- (972) 312-1662
- NPI assigned
- Jul 17, 2006
- Last updated
- Dec 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D5324 | TX | Primary |
Addresses
Primary practice location
6200 W Parker Rd
Mob 1 Suite 502
Plano, TX 75093-7939
Mailing address
5936 Gladeside CT
Dallas, TX 75248-2111
Phone (972) 931-6124
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5324 | TX | MD | Gynecology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecology Physician
- Plano, TX
- NPI 1528248564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1114944766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 GLADESIDE CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482111",
"telephone_number": "972-931-6124",
"fax_number": "972-931-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W PARKER RD",
"address_2": "MOB 1 SUITE 502",
"city": "PLANO",
"state": "TX",
"postal_code": "750937939",
"telephone_number": "972-312-1309",
"fax_number": "972-312-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "STACY",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "D5324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Stephanie Shah, MD, PA (Pain Management Associates)
- Stephen P. Courtney, M.D., P.a. (Advanced Spine Center)
- Stephen R. Neece, MD, P.a. (Frisco Neurological Surgery)
- Stephen Twyman MD PLLC
- Stephen V Hamn MD PA
- Elizabeth Stephenson, FNP
- Roberta Claudino Stephenson
- Sterling Pain Medicine, P.a.
- Steve Layton DDS MSD Inc
- Steve Tran MD & Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.