Active NPI
Stacy Ann Mitchell Doyle, M.D.
- Specialist
- Greenville, TX
National Provider Identifier
1306993084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A67599
- Practice address
- 4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852 - Phone
- (903) 408-5000
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A67599 | CA | Primary |
Addresses
Primary practice location
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Mailing address
1629 Meadow Valley LN
Dallas, TX 75232-2855
Phone (310) 686-5772
Other practice location 1
211 N Prairie Ave
Inglewood, CA 90301-1412
Phone (310) 673-9499
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 |
|---|---|---|---|
| A67599 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Em-I Medical Services, PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1699981720
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1306993084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 MEADOW VALLEY LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752322855",
"telephone_number": "310-686-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 JOE RAMSEY BLVD E",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017852",
"telephone_number": "903-408-5000"
}
],
"practiceLocations": [
{
"address_1": "211 N Prairie Ave",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "903011412",
"country_code": "US",
"telephone_number": "310-673-9499",
"fax_number": "310-677-5643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL DOYLE",
"first_name": "STACY",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A67599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.