STACEY HEATH NPI 1649354705

NPI Information

  • NPI: 1649354705
  • Provider Name: STACEY HEATH
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4116 CAPITOL ST
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 620-4467

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NPI Details

Stacey Heath is an obstetrics gynecology in Durham, NC. The provider is 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. Stacey Heath NPI is 1649354705. 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:

4116 CAPITOL ST
DURHAM, NC
ZIP 27704-152
Phone: (919) 620-4467

The NPI 1649354705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 10/10/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology35919NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18913050MEDICAIDNORTH CAROLINA
22001276AMEDICARE PINNORTH CAROLINA
32075196MEDICARE PINNORTH CAROLINA
4F02437MEDICARE UPIN
52001276MEDICARE PINNORTH CAROLINA

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: 11/21/2025

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