1528564531 NPI number — STACY ARRINGTON STEWART DO

Table of content: STACY ARRINGTON STEWART DO (NPI 1528564531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528564531 NPI number — STACY ARRINGTON STEWART DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEWART
Provider First Name:
STACY
Provider Middle Name:
ARRINGTON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528564531
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BAYLOR SCOTT & WHITE MEDICAL CENTER- ROUND ROCK
Provider Second Line Business Mailing Address:
425 UNIVERSITY BLVD, SUITE 300, MS-M2 3.005
Provider Business Mailing Address City Name:
ROUND ROCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78665
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-244-5729
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 TOWNE LAKE PKWY STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODSTOCK
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30189-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-592-2300
Provider Business Practice Location Address Fax Number:
770-592-2040
Provider Enumeration Date:
03/30/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  88054 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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