Tanya Stachiw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P4115 Issued in TX

Practice address

3320 Live Oak St
East Dallas Health Center
Dallas, TX 75204-6109

Phone

(214) 266-1000

NPI assigned

May 29, 2009

Last updated

Nov 10, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: tstachiw31869@direct.phhs.org

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352505600000",
    "number": "1952537391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 LIVE OAK ST",
            "address_2": "EAST DALLAS HEALTH CENTER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046109",
            "telephone_number": "214-266-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHIW",
        "first_name": "TANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2012-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Paul Health Services, Inc
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• Lauren St. Tours
• Olivia Hayes Staas
• Sloane Aubrey Stabenow, MD
• John Stack Jr.
• Anthony Richard Stackle
• Julia Stacy
• Marilyn Joan Stacy, LPC
• Susan Joan Stacy, M.S. L.P.C.S.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, 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 Nov 10, 2012; 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.