Stacey Heath
Obstetrics & Gynecology

Address: 4116 Capitol St, Durham, NC 27704-2152
Phone: 9196204467

Stacey Heath (NPI# 1649354705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1649354705
Entity Type Individual
Full Name Stacey Heath
Gender Male
Practice Address 4116 Capitol St
Durham
NC 27704-2152
Practice Telephone 9196204467
Mailing Address 4116 Capitol St
Harris and Smith Ob Gyn
Durham
NC 27704-2152
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-25
Last Update Date 2008-10-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians 35919 NC

Other Provider Identifier

State Identifier Issuer Type Code
NC 8913050 MEDICAID

Other Providers STACEY HEATH

NPI Name Taxonomy Address Enumeration
1790071777 Stacey Marie Heath Nurse Anesthetist, Certified Registered 800 Montclair Rd, Birmingham, AL 35213-1908 2011-06-28

Physician Overview

NPI 1649354705
PAC ID by PECOS 0648360974
Professional Enrollment ID I20071226000211
Full Name Stacey M Heath
Organization Legal Name PRIVATE DIAGNOSTIC CLINIC PLLC
Phone Number 9199678052
Gender M
Medical School EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 1355254368
Number of Group Practice Members 1973
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 4116 CAPITOL ST
City DURHAM
State NC
Zip Code 27704-2152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689690182 Private Diagnostic Clinic, Pllc Obstetrics & Gynecology 4116 Capitol St, Durham, NC 27704-2152 2006-07-15
1508227851 Stephanie Rodman Nurse Practitioner 4116 Capitol St, Durham, NC 27704-2152 2016-03-15
1942404306 Lena Anne Kruth Nurse Practitioner 4116 Capitol St, Durham, NC 27704-2152 2007-06-12
1275751026 Amanda Lynn O'briant Nurse Practitioner 4116 Capitol St, Durham, NC 27704-2152 2007-04-24
1932242120 Avis Artis Obstetrics & Gynecology 4116 Capitol St, Durham, NC 27704-2152 2007-02-15
1215011374 Georgina F. Keene Obstetrics & Gynecology 4116 Capitol St, Durham, NC 27704-2152 2006-10-25
1376627422 Charles O. Harris Obstetrics & Gynecology 4116 Capitol St, Durham, NC 27704-2152 2006-10-25
1942384805 Ira Q. Smith Obstetrics & Gynecology 4116 Capitol St, Durham, NC 27704-2152 2006-10-25
1437233301 Heather Vawter Obstetrics & Gynecology 4116 Capitol St, Durham, NC 27704-2152 2006-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245723139 Devang Ashokbhai Patel Dentist 2609 N Duke St Ste 618, Durham, NC 27704 2018-06-14
1033625702 Tondra A Little Custodial Care Facility 1012 Davinci Street, Durham, NC 27704 2017-12-18
1437502408 Jhazmere Shamas Preston Counselor 2609 N. Duke St. Suite 403, Durham, NC 27704 2016-07-14
1649626656 Professional Elevations Pllc Case Manager/Care Coordinator 304 Crutchfield Drive, Durham, NC 27704 2016-05-09
1083071617 Alyssa Wilson Speech-Language Pathologist 215 William Penn Plz Apt 908, Durham, NC 27704 2016-01-27
1932565124 Arthur Reynolds Jr and Associates P.l.l.c. Dentist 2106 N Duke St, Durham, NC 27704 2016-01-05
1962877720 Chimere Brooks Contractor 4001meriwether Drive Apt P-19, Durham, NC 27704 2015-12-04
1184013294 Danielle King Physician Assistant 3611 N Duke Street, Durham, NC 27704 2015-01-13
1730581901 Images, 'of Me To You' Community/Behavioral Health 2823 Cascadilla Street, Durham, NC 27704 2014-09-19
1477954758 Danielle Kelly Counselor 3601 North Roxboro Street, Durham, NC 27704 2014-09-05
Find all providers in zip 27704

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194144063 Jordan Enns Schaumberg Obstetrics & Gynecology 5324 Mcfarland Rd Ste 300, Durham, NC 27707-6864 2014-04-08
1396986279 John Harrison Baker Obstetrics & Gynecology 400 Crutchfield Street, Ste. B, Durham, NC 27704 2009-03-23
1417136508 Lynda B Mchutchison Obstetrics & Gynecology 5309 Highgate Dr, Durham, NC 27713-8501 2007-10-25
1912199126 Beverly Allen Gray Obstetrics & Gynecology 203 Baker House, Durham, NC 27710-0001 2007-08-11
1043418163 Ryan Timothy Bakelaar Obstetrics & Gynecology 122 Eagles Nest Dr, Durham, NC 27712-2989 2007-07-10
1760692313 Amy Nicole Broach Obstetrics & Gynecology Po Box Office, Box 3609, Durham, NC 27710-0001 2007-05-23
1720115827 Jennifer E Norten Obstetrics & Gynecology Dumc 3119, Durham, NC 27710-0001 2007-02-27
1558425272 Shelley Rice Obstetrics & Gynecology 40 Medicine Circle Blue Zone Room 3688, Durham, NC 27710-0001 2006-12-20
1013070887 Anne Ford Obstetrics & Gynecology 5324 Macfarland Dr Suite 300, Duke Womens Health Associates, Durham, NC 27707 2006-12-19
1811064389 Susann Clifford Obstetrics & Gynecology Sutton Station, 5726 Fayetteville Road, Suite 101, Durham, NC 27713 2006-11-29
Find all providers in DURHAM

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City DURHAM
Zip Code 27704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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