Stacy L. Street is a Surgery in Richmond, Virginia. Stacy L. Street practices all healthcare services and medical treatments related to Surgery. The NPI Number for Stacy L. Street is 1275566234. The last update date is 2021-09-09.
Stacy L. Street's current location address is Po Box 91734, Richmond, Virginia. You can contact this provider via phone number 8556895105 and fax number 8885079833. The mailing address for Stacy L. Street is Po Box 91734, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy L. Street |
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Address | Po Box 91734, Richmond, Virginia |
Phone Number | 8556895105 |
Fax Number | 8885079833 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1275566234 |
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Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2021-09-09 |
Provider Mailing Address Detail
Address | Po Box 91734 |
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City | Richmond |
State | Virginia (VA) |
Post Code | 232911734 |
Phone Number | 8556895105 |
Fax Number | 8885079833 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 101267297 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
186342 | MS | -- |
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What is the unique 10-digit identifier code assigned to Stacy L. Street by the Centers for Medicare & Medicaid Services?
The Stacy L. Street has been issued the NPI (National Provider Identifier) 1275566234 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Stacy L. Street's physical address?
The Stacy L. Street is physically located at Po Box 91734, in the city of Richmond, VA, with the postal code 232911734.
What is the Stacy L. Street's area of specialization and corresponding taxonomy classification?
The Stacy L. Street's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1275566234 to Stacy L. Street?
The Centers for Medicare & Medicaid Services assigned the 1275566234 to Stacy L. Street on 2006-07-09.
As of what date were the Stacy L. Street's details last updated?
The information pertaining to the Stacy L. Street, including its address, specialty, and other details, was most recently updated on 2021-09-09.