Stacy Thomas Oommen, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

R9874 Issued in TX

Practice address

515 W Mayfield Rd Ste 200
Arlington, TX 76014-4596

Phone

(817) 468-4689

Fax

(817) 465-7872

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Obstetrics/Gynecology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006

Medicare assignment

May accept Medicare assignment

Group practices

HCA Houston OB Hospitalist, PLLCGroup PAC ID 7416397179, 41 clinicians

Practice addresses (Care Compare)

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.

• HCA Houston OB Hospitalist, PLLC

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1144081431
  Medicare reassignment Care Compare group NPD
• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Arlington Physician Services PA

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
  • NPI 1093144610
  Medicare reassignment
• Columbia Medical Center of Las Colinas Inc

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1902857766
  NPD (past)
• Questcare Obstetrics PLLC

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1184897159
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1851500359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144596",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144596",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 E Broad St, Suite 321",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "STACY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-126582",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "R9874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Chukwubuikem Onwuka
• Juliet Onyeador
• Patricia Erinma Onyeador
• Anselm Nnadozie Onyeneke, PMHNP-BC / CNP
• Yin Htwe Oo, MD
• Op Ops Arl TX, LLC
• Op Pharmacy LLC
• Adedoyin Esther Opara
• Chizoma Opara, COTA
• Nancy Chinyere Opara, OD

• Gynecology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.