Organization Active NPI

Stefanie B McCain, M.D. PA

  • Obstetrics & Gynecology Physician
  • Abilene, TX
National Provider Identifier
1962548958
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
STEFANIE B MCCAIN, M.D. PA
Practice address
19 Hospital Dr
Abilene, TX 79606-5269
Phone
(325) 690-0620
Fax
(325) 690-0622
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Stefanie Bertie McCain, MDNPI 1265539688
Title
Owner
Phone
(325) 690-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

19 Hospital Dr
Abilene, TX 79606-5269

Mailing address

19 Hospital Dr
Abilene, TX 79606-5269
Phone (325) 690-0620

Other identifiers 1

IdentifierTypeStateIssuer
089922101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000200 TX Part B Supplier - Clinic/Group Practice 7113042045 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Locations

1680 Antilley Rd
Ste 370
Abilene, TX 79606
Phone (325) 690-0620

19 Hospital Dr
Abilene, TX 79606
Phone (325) 690-0620

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1962548958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOSPITAL DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065269",
            "telephone_number": "325-690-0620",
            "fax_number": "325-690-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HOSPITAL DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065269",
            "telephone_number": "325-690-0620",
            "fax_number": "325-690-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE B MCCAIN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "BERTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-690-0620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089922101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.