MRS. STACEY MARIE SHOOP M.D. NPI 1104222124

NPI Information

MRS. Stacey Marie Shoop, M.D. is a medical physician assistant in Santa Ana, CA with 10 years of experience. MRS. Stacey Marie Shoop, M.D. NPI is 1104222124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduation Year:2014

The provider's business location address is:

2621 S BRISTOL ST
STE 108
SANTA ANA, CA
ZIP 92704-718
Phone: (714) 754-1684
Fax: (714) 966-0417

The NPI 1104222124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.