Mark Stacy Jr.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2448 E 81St St
Tulsa, OK 74137-4250

Phone

(918) 460-5925

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1518412030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W 64TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321395",
            "telephone_number": "918-899-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374250",
            "telephone_number": "918-460-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory L Stacey, CRNA
• Lainey Hayes Stach
• Stacy Mitchell
• Cory Elizabeth Stacy
• Kimberly Stacy, LPN
• Mary Cassidy Stacy
• Stanley R Stacy, DO
• Jessica Kay Stadler, FNP-C
• John Kellen Stadler, DO
• Andrea Elizabeth Stafford, M.D.

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.