Stonehaven Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STONEHAVEN MEDICAL GROUP, PLLC

Practice address

4519 N Garfield St Ste 1
Midland, TX 79705-3400

Phone

(432) 219-9200

Fax

(432) 218-7879

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Rickey W Hamby Jr., MDNPI 1891084372

Title

MD/Owner

Phone

(432) 219-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Rickey White Hamby Jr., M.D.

  • Family Medicine Physician
  • Midland, TX
  • NPI 1891084372
  Medicare reassignment Care Compare group NPD Authorized official
• Rosalyn Johanna Miller, FNP-BC

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1851113799
  Medicare reassignment Care Compare group NPD
• George Terrazas Alva, FNP

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1639766140
  Medicare reassignment NPD
• Terry Lynn Hamilton, D.C.

  • Chiropractor
  • Midland, TX
  • NPI 1346223435
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1982202263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 BRIARWOOD AVE # 110-87",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072615",
            "telephone_number": "432-219-9200",
            "fax_number": "432-218-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 N GARFIELD ST STE 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053400",
            "telephone_number": "432-219-9200",
            "fax_number": "432-218-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "432-219-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "P7455",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leann Stewart, R.N.
• Suzanne G Stewart, LPC, NCC
• Aaron B Stike, MD
• Stockton Finance
• Jeanne Stone, AU.D
• Stonehaven Medical PLLC
• Chloe Storm, PA-S
• Kathleen Story, LMFT
• Cara Stowers, DPT
• Strength RX Physical Therapy LLC

• Family Medicine Physician in Midland, TX
• Providers in Midland, 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 May 5, 2022; 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.