Stacia Erin Clement-Kruzel, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

P3135 Issued in TX

Practice address

3500 Gaston Ave
5TH Floor Pathology
Dallas, TX 75246-2017

Phone

(214) 820-2172

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sclementkruzel@direct.uspi.com

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.

• DFW 501a Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Iring, TX
  • NPI 1699746222
  Medicare reassignment NPD
• DFW 501a Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Plano, TX
  • NPI 1881665412
  NPD
• Pathologists Biomedical Laboratories PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Grapevine, TX
  • NPI 1275838179
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1821344649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-820-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "5TH FLOOR PATHOLOGY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT-KRUZEL",
        "first_name": "STACIA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "P3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmel Mary Cleetus, O.D.
• Nancy Jane Clegg, RN, CNS, PHD
• Matthew Clem, PHD
• Katy Clemens, LD
• Scott Joseph Clemens, RPH
• Darvin Lee Clement, PHARMD
• Eugenie Marianne Clement, RNC WHCNP MS
• Jonathan Clement
• Cynthia Lynn Clements, LPC
• Keri Lee Clements, MSN, RN, AGACNP-BC

• Anatomic Pathology & Clinical Pathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.