Active NPI
Stephanie Jones Marioneaux, M.D.
- Specialist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 41299
- Practice address
- 1013 Eden N Way E
Chesapeake, VA 23320-2792 - Phone
- (757) 547-5805
- Fax
- (757) 547-1903
- NPI assigned
- Jul 12, 2006
- Last updated
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 41299 | VA | Primary |
Addresses
Primary practice location
1013 Eden N Way E
Chesapeake, VA 23320-2792
Mailing address
1013 Eden Way N
Ste E
Chesapeake, VA 23320-2792
Phone (757) 547-5805
Other names 1
- Dr. Stephanie Jones Marioneaux
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100119000663 | VA | Practitioner - Ophthalmology | 2668559923 | Practice locations: Chesapeake, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Harvard Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1013 Eden Way N
Suite E
Chesapeake, VA 23320-2792
Phone (757) 547-5805
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41299 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Neurologists Inc, PC | Past | Accepting new patients | |
| Chesapeake Hospital Authority | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Tidewater Neurologists and Sleep Disorder Specialist, inc
- Neurology Physician
- Portsmouth, VA
- NPI 1689623258
-
dba Chesapeake Regional Primary Care-Elizabeth City - Rural Health Center
- Rural Health Clinic/Center
- Elizabeth City, NC
- NPI 1902559719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1114952587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 EDEN WAY N",
"address_2": "STE E",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202792",
"telephone_number": "757-547-5805",
"fax_number": "757-547-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 EDEN N WAY E",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202792",
"telephone_number": "757-547-5805",
"fax_number": "757-547-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIONEAUX",
"first_name": "STEPHANIE",
"middle_name": "JONES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "41299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MARIONEAUX",
"middle_name": "JONES",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.