Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750388971 Individual Practitioner Female Practitioner

Dr. Ava Cheryl Stanczak , DO

Pediatrics • Coppell, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ava Stanczak, DO is a registered healthcare professional specializing in Pediatrics in Coppell, TX. Practice services are available at 645 E STATE HIGHWAY 121 STE 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

645 E State Highway 121 Ste 600

Coppell, TX 750197942

Telephone 9727457500
Fax 9727454336
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Coppell, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Coppell, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX G4785

A 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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 01022011441

A 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0102201441 (VA)

Secondary Practice Locations

165 Westmoreland St

Harrogate, TN 377528202

Phone: 4238697193

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1013134972

Doctor of Osteopathic Medicine (D.O.)

Dr. Minakshi Bansal , DNP

Nurse Practitioner - Family

NPI 1073245429

Doctor of Nursing Practice

Dr. Victor Abrego , MD

Preventive Medicine - Occupational Medicine

NPI 1134196967

Doctor of Medicine (M.D.)

Dr. Marc Anduss , MD

Family Medicine

NPI 1144307844

Doctor of Medicine (M.D.)

William Taylor

Family Medicine

NPI 1225101934
Savannah Power

Nurse Practitioner - Family

NPI 1235019753

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 645 E STATE HIGHWAY 121 STE 600, COPPELL, TX 750197942 (Tel: 9727457500)

📍
Updated Business Mailing Address March 17, 2018

Registered at 432 FARRIS MINES RD, ALLISONIA, VA 243474072 (Tel: (540) 230-4668)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as AVA STANCZAK, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #01022011441 in VA)

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2017

Registered at 645 E STATE HIGHWAY 121 STE 600, COPPELL, TX 750197942 (Tel: 9727457500)

📍
Updated Business Mailing Address June 19, 2017

Registered at 432 FARRIS MINES RD, ALLISONIA, VA 243474072 (Tel: (540) 230-4668)

👤
Provider Name / Credentials Updated June 19, 2017

Recorded as AVA STANCZAK, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Pediatrics (License #G4785 in TX)

NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2012

Registered at 165 WESTMORELAND ST, HARROGATE, TN 377528202 (Tel: 4238697193)

📍
Updated Business Mailing Address October 15, 2012

Registered at 432 FARRIS MINES RD, ALLISONIA, VA 243474072 (Tel: 5402304668)

👤
Provider Name / Credentials Updated October 15, 2012

Recorded as AVA STANCZAK, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Pediatrics (License #01022011441 in VA)

🟢
Initial NPI Registration & Enumeration July 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750388971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2005
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

432 Farris Mines Rd

Allisonia, VA 243474072

Phone: 5402304668

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.