Stefanie Janine Marco, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

U1329 Issued in TX

Practice address

1631 11TH Street
Unit B
Wichita Falls, TX 76301-7630

Phone

(940) 263-3000

Fax

(940) 263-3018

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stefanie Janine Herrera Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Magna Health PLLCGroup PAC ID 0749540045, 26 clinicians

Suvida Healthcare NphoGroup PAC ID 8325423650, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sherrera146205@direct.phhs.org
• Direct secure messaging: stefanie.marco@509680731226116.direct.elationemr.com
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• Direct secure messaging: smarco73554@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Magna Health PLLC

  • Hospitalist Physician
  • Wichita Falls, TX
  • NPI 1699285346
  Medicare reassignment Care Compare group NPD
• Suvida Healthcare Npho

  • Clinic/Center
  • Austin, TX
  • NPI 1033842414
  Medicare reassignment Care Compare group NPD
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1144713736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 1990",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151415",
            "telephone_number": "682-990-6491",
            "fax_number": "877-675-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763017630",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 South Fwy Ste 1990",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761151415",
            "country_code": "US",
            "telephone_number": "682-990-6491",
            "fax_number": "877-675-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCO",
        "first_name": "STEFANIE",
        "middle_name": "JANINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U1329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "HERRERA",
            "middle_name": "JANINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maplewood Ambulatory Surgery Center, Inc.
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• Tanna Marak
• Jamael Marcelle, MS, LPC
• Adam Roland Marchand, PHYSICAL THERAPIST
• Margory a Cantrell Ma LPC PLLC
• Rebecca Ashley Marin, LVN
• Bethany Marion
• Heather Markham
• Kendra Leigh Maroney, SLP

• Internal Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.

Verify at the official NPI Registry.