DR. STACEY NOEL MOLLIS M.D.
NPI 1457459349
Internal Medicine in Saint Paul, MN

Q: What is Stacey Mollis's NPI number?

The NPI number for Stacey Mollis is 1457459349. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Stacey Mollis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Mollis was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2006

640 JACKSON ST, MAIL CODE 11107E, SAINT PAUL, MN 55101(651) 254-9545(651) 254-1553 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Stacey Noel Mollis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACEY NOEL MOLLIS M.D. (NPI 1457459349) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (40579) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1457459349

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. STACEY NOEL MOLLISCredential: M.D.

Location Address640 JACKSON ST, MAIL CODE 11107ESaint Paul, MN 55101-2502

Mailing Address640 Jackson St, Mail Code 11107eSaint Paul, MN 55101-2502 · (651) 254-9545 · Fax (651) 254-1553

Phone(651) 254-9545

Fax(651) 254-1553

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateDecember 1, 2008

✔ NPI 1457459349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 40579

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

640 JACKSON ST, Saint Paul, MN 55101

Open in Google Maps ↗

Other Identifiers 1

Medicare UPING70816

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine