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DR. STEPHEN KIMBALL STACEY DO NPI 1407120702


NPI Information

NPI: 1407120702
Provider Name: DR. STEPHEN KIMBALL STACEY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC

PECOS Registration: Yes

Address:
815 SOUTH 10TH ST
LA CROSSE, WI
ZIP 54601
Phone: (608) 785-0940
Get Directions

DR. Stephen Kimball Stacey, DO is a family medicine in La Crosse, WI with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Stephen Kimball Stacey, DO NPI is 1407120702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

815 SOUTH 10TH ST
LA CROSSE, WI
ZIP 54601-764
Phone: (608) 785-0940

The NPI 1407120702 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 3/4/2012 and was last updated on 9/16/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine71099WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.