Stacy Randolph Stephens, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

D5324 Issued in TX

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

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "824472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Shah, MD, PA
• Stephen P. Courtney, M.D., P.a.
• Stephen R. Neece, MD, P.a.
• 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

• Gynecology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Gynecology Physician in Texas

• 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.

Verify at the official NPI Registry.