Individual provider Active NPI

Elizabeth A. Stevenson-Gargiulo, DO

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1245280569
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L3002 Issued in TX
Practice address
9101 N Central Expy
Suite 250
Dallas, TX 75231-5927
Phone
(214) 826-2979
Fax
(214) 828-9169
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L3002 TX Primary

Addresses

Primary practice location

9101 N Central Expy
Suite 250
Dallas, TX 75231-5927

Mailing address

9101 N Central Expy
Suite 250
Dallas, TX 75231-5927
Phone (214) 826-2979

Other identifiers 1

IdentifierTypeStateIssuer
1616591-02MedicaidTX

Other names 1

  • Elizabeth A. Stevenson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041129000595 TX Practitioner - Obstetrics/Gynecology 7214992510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

9101 N Central Expy
Dallas, TX 75231-5947

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3002TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 1, 2004 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology CurrentSince Oct 1, 2004 Accepting new patients
OB Hospitalists of Texas, P.a. Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Baylor University Medical Center Past Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Past Accepting new patients

Locations

4224 Swiss Ave
Dallas, TX 75204
Phone (214) 821-9938

9101 N Central Expy
Ste 250
Dallas, TX 75231
Phone (214) 286-2979

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

6125 Luther Ln
Dallas, TX 75225
Phone (214) 612-6518

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: estevensongargiulo224839@direct.sw.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1245280569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315927",
            "telephone_number": "214-826-2979",
            "fax_number": "214-828-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315927",
            "telephone_number": "214-826-2979",
            "fax_number": "214-828-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON-GARGIULO",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L3002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1616591-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STEVENSON",
            "middle_name": "A.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.