Active NPI
Stephanie Thomas, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1184761702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P2795
- Practice address
- 6301 Gaston Ave
Suite 190P
Dallas, TX 75214-3922 - Phone
- (469) 619-6550
- Fax
- (469) 334-0507
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P2795 | TX | Primary |
Addresses
Primary practice location
6301 Gaston Ave
Suite 190P
Dallas, TX 75214-3922
Mailing address
6301 Gaston Ave
Suite 190P
Dallas, TX 75214-3922
Phone (469) 619-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02713486 | Medicaid | NY |
Other names 1
- Stephanie David
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2795 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care of the Treasure Coast, Inc. | Past | Accepting new patients | |
| Primary Care of the Treasure Coast, Inc. | Internal Medicine | Past | Accepting new patients |
| Greater Dallas Healthcare Enterprises | Past | Accepting new patients | |
| Hillside Polymedic P.C. | Internal Medicine | Past | Accepting new patients |
| Hillside Polymedic Diagnostic & Treatment Center Inc | Past | Accepting new patients | |
| Greater Dallas Healthcare Enterprises | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- stephanie.thomas.p63@direct.tenet.nextgenshare.com
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1255542122
Internal Medicine
-
- Pediatrics Physician
- Dallas, TX
- NPI 1689073470
-
- Clinic/Center
- Jamaica, NY
- NPI 1689879280
-
- Family Medicine Physician
- Vero Beach, FL
- NPI 1356435176
Internal Medicine
-
- Clinical Medical Laboratory
- Vero Beach, FL
- NPI 1598970618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387843200000",
"number": "1184761702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "SUITE 190P",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "469-619-6550",
"fax_number": "469-334-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "SUITE 190P",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "469-619-6550",
"fax_number": "469-334-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "STEPHANIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2013-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P2795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02713486",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "DAVID",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.