Gary Edward Stapleton, MD
Individual provider Active NPI Pediatric Cardiology Physician · Houston, TX
NPI 1447477385 · NPPES record last updated Apr 15, 2021
Key facts
- NPI
- 1447477385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- ME98491 (FL)
- Practice address
- 6651 Main St Ste E1920
Houston, TX 77030-2428 - Phone
- (832) 824-1000
- Fax
- (832) 826-4297
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219003169 | TX | Practitioner - Pediatric Medicine | 6800982299 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congenital Heart Surgery Center PLLC | Current |
Accepting new patients | |
| Texas Children'S Physician Group | Current |
Accepting new patients | |
| Asante-Korang Edwards Giroud Martinez McCormack & Suh MD PA | Pediatric Cardiology | Past | Accepting new patients |
| All Children'S OB/GYN Specialists | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7777 Forest Ln
Ste A337
Dallas, TX 75230
Phone (972) 566-5200
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6651 Main St
Ste E1920
Houston, TX 77030
Phone (832) 826-5048
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- gary.stapleton@hca7.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | ME98491 | FL | Yes |
Addresses
Primary practice location
6651 Main St Ste E1920
Houston, TX 77030-2428
Mailing address
6651 Main St Ste E1920
Houston, TX 77030-2428
Phone (832) 824-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278183200 | Medicaid | FL |
NPI Registry JSON
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1447477385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 MAIN ST STE E1920",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302428",
"telephone_number": "832-824-1000",
"fax_number": "832-826-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 MAIN ST STE E1920",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302428",
"telephone_number": "832-824-1000",
"fax_number": "832-826-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLETON",
"first_name": "GARY",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME98491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278183200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Kimberley Stanton
- Taquerria K Stanton
- Stanwick Senior Care LLC
- Tanisha Renee Staples
- Clarissa Therese Stapleton
- Brian Douglas Stapp
- Candace Rebecca Stapp
- Michaela N. Stapp
- Star Bright Health Services
- Star Community Living Inc
All providers in Houston, TX · Pediatric Cardiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.