Individual provider Active NPI

Stephanie Jones Marioneaux, M.D.

  • Specialist
  • Chesapeake, VA
National Provider Identifier
1114952587
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
41299 Issued in VA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41299VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Neurologists Inc, PC PastSince Jan 25, 2018 Accepting new patients
Chesapeake Hospital Authority PastSince Dec 17, 2010 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.

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

Verify at the official NPI Registry.