NPIMap

Individual provider Active NPI

Stacy Lynn McFaul, D.O.

  • Diagnostic Radiology Physician
  • Marble Falls, TX
National Provider Identifier
1609875061
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H9518 Issued in TX
Practice address
207 Dominion Drive Applehead Island
Marble Falls, TX 78657-7078
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 19, 2005
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X H9518 TX
Diagnostic Radiology Physician 2085R0202X H9518 TX Primary
Diagnostic Radiology Physician 2085R0202X 5392438-1204 UT

Addresses

Primary practice location

207 Dominion Drive Applehead Island
Marble Falls, TX 78657-7078

Mailing address

11995 Singletree Lane
Suite 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other names 1

  • Stacy Lynn Grayson Other name

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H9518TXMDDiagnostic Radiology Physician
5392438-1204UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Brownwood Hospital LP Diagnostic Radiology Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology PastSince Apr 14, 2016 Accepting new patients
Piedmont Diagnostic Radiology PC Diagnostic Radiology Past Accepting new patients
Rhino Medical Services Past Accepting new patients
Potomac Radiology & Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients
Big Bend Medical Group Diagnostic Radiology Past Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stacy.mcfaul@westgahealth.gadirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1609875061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LANE",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 DOMINION DRIVE APPLEHEAD ISLAND",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786577078",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAUL",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "H9518",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H9518",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "5392438-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "GRAYSON",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.