Active NPI
Elmer Joe Stacy, RRT,CRTT,RCP
- Chore Provider
- Aransas Pass, TX
National Provider Identifier
1215000930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 1010 S Commercial St
Aransas Pass, TX 78336-5306 - Phone
- (361) 229-1696
- Fax
- (361) 758-3339
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
1010 S Commercial St
Aransas Pass, TX 78336-5306
Mailing address
1010 S Commercial St
Aransas Pass, TX 78336-5306
Phone (361) 229-1696
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215000930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S COMMERCIAL ST",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783365306",
"telephone_number": "361-229-1696",
"fax_number": "361-758-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S COMMERCIAL ST",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783365306",
"telephone_number": "361-229-1696",
"fax_number": "361-758-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACY",
"first_name": "ELMER",
"middle_name": "JOE",
"credential": "RRT,CRTT,RCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aransas Pass, TX
- Heather Lee Smith, PSYD
- Raleigharnoldiii Smith, M.D.
- South Central Texas Bone and Joint Center, PA
- South Padre Island Pediatric Clinic PA (South Padre Island Pediatric CNTR-Aransas Pass)
- Brandi Spears, PTA
- Lorraine S Stehn, DO
- Sutton Health Advocacy LLC
- Allison Taylor, PTA
- VV&M Inc (Central Texas Medical Medical Equipment and Supplies)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0458)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.