Rachenetta V. Stimage, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M9680 Issued in TX

Practice address

4360 N Josey LN
Carrollton, TX 75010-4602

Phone

(972) 492-7606

Fax

(972) 492-0105

NPI assigned

May 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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.

• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1861601049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104602",
            "telephone_number": "972-492-7606",
            "fax_number": "972-492-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104602",
            "telephone_number": "972-492-7606",
            "fax_number": "972-492-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 N Josey Ln",
            "address_2": "suite 210",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104635",
            "country_code": "US",
            "telephone_number": "972-492-7606",
            "fax_number": "972-492-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIMAGE",
        "first_name": "RACHENETTA",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "BP1-0013064",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M9680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Stervinou, R.D., L.D.
• Delarious Oneal Stewart, EDD, NCSP, NCC, LPC
• Jeffrey G Stewart, M.D.
• Philip B Stiles, OD
• Stim-U-Med Corporation
• Amy L Stockhausen, M.D.
• Mary Claire Stoelzing
• Rebecca Stone
• Madison Jan Stonestreet, M.S., CCC-SLP
• Timothy Adam Storck, M.ED, BCBA, LBA

• Obstetrics & Gynecology Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.