Jay C Story, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G7595 Issued in TX

Practice address

580 S Denton Tap Rd
#123
Coppell, TX 75019-4098

Phone

(972) 462-0762

Fax

(972) 393-2133

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1801878178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 COTTONWOOD DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192512",
            "telephone_number": "972-393-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD",
            "address_2": "#123",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194098",
            "telephone_number": "972-462-0762",
            "fax_number": "972-393-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "JAY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105307604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105307605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105307603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank J Stich III, DDS MSD
• Aliyah Marie Stock
• McKenna Avery Stockton
• Janet Stone Gonzalez, DDS
• Stop and Go Transportation LLC
• Joe Robyn Strader, FNP
• Elise Marie Stratil
• Sara Sturdivan, RD, LD
• Srividhya Subramanian
• Tina Marie Sugden, R.D.H.

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.