Stephanie L Atiyeh MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L9078 Issued in TX

Legal business name

STEPHANIE L ATIYEH MD PA

Practice address

7777 Forest LN
Dallas, TX 75230-2505

Phone

(972) 566-2667

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Atiyeh, MDNPI 1659356053

Title

Owner

Phone

(972) 566-2667

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie L Atiyeh, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1659356053
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366576597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 869365",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75086",
            "telephone_number": "972-758-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE L ATIYEH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATIYEH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-566-2667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0012LY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sergey Stepanov, DO
• Stepen M Tankersley MD
• Maria Stephan Laham, MD
• Stephanie H. Greenberg, PLLC
• Stephanie K. Teotia MD PA
• Stephanie McCarter M.D. , P.a.
• Stephanie Stephens MD PA
• Stephen a. Graham, MD, PA
• Stephen Becker (Stephen Becker MD)
• Stephen Family Dentistry, PC

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.