STEPHANIE JACKS NPI 1003041567

Pediatrics in Houston, TX

NPI 1003041567 Individual Female Pediatrics

About STEPHANIE JACKS

Stephanie Jacks is a pediatrician established in Houston, Texas and her medical specialization is pediatrics. The NPI number of Stephanie Jacks is 1003041567 and was assigned on May 2009. The practitioner's primary taxonomy code is 208000000X with license number R4401 (TX). The provider is registered as an individual and her NPI record was last updated December 2021.

A pediatrician like Stephanie Jacks is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Stephanie Jacks is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003041567

Provider Name STEPHANIE JACKS
Provider Location Address6701 FANNIN ST HOUSTON, TX 77030
Provider Mailing Address2450 HOLCOMBE BLVD STE NB-34L HOUSTON, TX 77021
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-27-2009
Last Update Date12-17-2021


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.R4401
License StateTX
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

STEPHANIE JACKS
6701 FANNIN ST
HOUSTON, TX
ZIP 77030
Phone: (832) 824-1000

Get Directions


Mailing Address

STEPHANIE JACKS
2450 HOLCOMBE BLVD STE NB-34L
HOUSTON, TX
ZIP 77021
Phone: (832) 828-3660



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207N00000XAllopathic & Osteopathic PhysiciansDermatologyR4401TXNo

Taxonomy Description: a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P01500386OTHER (01)MS
06536832MEDICAID (05)MS

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194729897DR. ELLEN M. FRIEDMAN M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)6701 FANNIN ST STE 540
HOUSTON, TX 77030
(832) 822-3250
1790789444 CARLA M. GIANNONI M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)6701 FANNIN ST STE 540
HOUSTON, TX 77030
(832) 822-3250
1619974631 MARCELLE SULEK M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)6701 FANNIN ST SUITE 540
HOUSTON, TX 77030
(832) 822-3245
1174518468 JOHN KERRISON JONES MD
Individual
Otolaryngology (Pediatric Otolaryngology)6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-3250
1487643847 KIMBERLY G. YEN M.D.
Individual
Ophthalmology6701 FANNIN ST SUITE 510.00
HOUSTON, TX 77030
(832) 822-3230
1649261884 DANIEL G GLAZE MD
Individual
Pediatrics6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-1764
1780665323 PAUL G. STEINKULLER M.D.
Individual
Ophthalmology6701 FANNIN ST SUITE 510.00
HOUSTON, TX 77030
(832) 822-3230
1922070135DR. JOSE RUBEN RODRIGUEZ MD
Individual
Surgery (Pediatric Surgery)6701 FANNIN ST SUITE 1210
HOUSTON, TX 77030
(832) 822-3135
1003863374MRS. TINA BRADSHAW PNP
Individual
Nurse Practitioner6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-1764
1760421184DR. PAULA M HERTEL M.D.
Individual
Pediatrics (Pediatric Gastroenterology)6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-3603
1780623462DR. DIANA LETICIA RODRIGUEZ M.D.
Individual
Pediatrics6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-1764
1497796015MRS. DEANNA T. DUGGAN NP
Individual
Nurse Practitioner6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-1764
1003857632 RONALD EASLEY M.D.
Individual
Anesthesiology6701 FANNIN ST
HOUSTON, TX 77030
(832) 824-1000
1306888540 JORGE E GOMEZ MD
Individual
Pediatrics (Sports Medicine)6701 FANNIN ST 1710.00
HOUSTON, TX 77030
(832) 822-3633
1528087343 JENNIFER LEIGH LUSK CRPNP
Individual
Nurse Practitioner6701 FANNIN ST MC-CCC-660
HOUSTON, TX 77030
(832) 822-3171
1710990163MISS TWIILA L COX NP
Individual
Nurse Practitioner6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-3776
1487760401DR. DAVID LEO PAUL M.D.
Individual
Pediatrics6701 FANNIN ST
HOUSTON, TX 77030
(832) 824-1000
1649382177DR. JEAN L RAPHAEL M.D.
Individual
Pediatrics6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-3442
1467556803DR. HILARY SU-YIN SUZAWA MD
Individual
Pediatrics6701 FANNIN ST SUITE 1410
HOUSTON, TX 77030
(832) 822-4200
1467556084DR. GORDON E SCHUTZE M.D.
Individual
Pediatrics6701 FANNIN ST
HOUSTON, TX 77030
(832) 822-1038

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.