Stacey Laurine Eadie, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0061035 Issued in MD

Practice address

1105 N Point Blvd
Suite 306
Baltimore, MD 21224-3419

Phone

(410) 285-5437

Fax

(410) 285-7333

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Peds in a Pod Pediatrics LLC

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1336453463
  Medicare reassignment NPD Authorized official
• Peds in a Pod Pediatrics LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1750729687
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1700853249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15444",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212200444",
            "telephone_number": "410-285-5437",
            "fax_number": "410-285-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD",
            "address_2": "SUITE 306",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243419",
            "telephone_number": "410-285-5437",
            "fax_number": "410-285-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADIE",
        "first_name": "STACEY",
        "middle_name": "LAURINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0061035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "001285800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E. Alexa Rich Counseling and Consulting
• E.P.I, LLC
• E&S Recovery LLC
• Each1Teach1 Community Health,LLC
• Each1Teach1 Community Health,LLC
• Melissa Eagen
• Eagles Will
• Brittany Eagles, PT, DPT
• Mackenzie Anne Eagleson, M.D.
• Kristen Lara Eaker, CPNP

• Pediatrics Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.