Individual provider Active NPI

Stephanie Michele Mishaw, MD

  • Obstetrics & Gynecology Physician
  • Rockwall, TX
National Provider Identifier
1760846679
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S6898 Issued in TX
Practice address
1005 W Ralph Hall Pkwy Ste 115
Rockwall, TX 75032-6697
Phone
(469) 800-3030
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X S6898 TX Primary

Addresses

Primary practice location

1005 W Ralph Hall Pkwy Ste 115
Rockwall, TX 75032-6697

Mailing address

1005 W Ralph Hall Pkwy Ste 115
Rockwall, TX 75032-6697
Phone (713) 449-0486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200615001486 TX Practitioner - Obstetrics/Gynecology 5597187898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1005 W Ralph Hall Pkwy
115 Baylor Scott and White Obstetrics and Gynec
Rockwall, TX 75032-6697
Phone (469) 267-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Obstetrics & Gynecology Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 5, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 5, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Lake Pointe Operating Company, LLC Past Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1005 W Ralph Hall Pkwy
Ste 115
Rockwall, TX 75032
Phone (469) 698-7878

Interoperability endpoints

  • Direct secure messaging: smishaw1132882@direct.sw.org
  • Direct secure messaging: stephanie.mishaw@direct.myhealthep.org

Organizations & group practices 8

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1760846679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 115",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326697",
            "telephone_number": "713-449-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 115",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326697",
            "telephone_number": "469-800-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAW",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S6898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.