Provider Demographics
NPI:1427092055
Name:PEISS, STUART (DPM)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:PEISS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6464 SAVOY DR STE 777
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3686
Mailing Address - Country:US
Mailing Address - Phone:281-888-9920
Mailing Address - Fax:
Practice Address - Street 1:6464 SAVOY DR STE 777
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3686
Practice Address - Country:US
Practice Address - Phone:281-888-9920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1930213E00000X
WI873-025213E00000X
MO2005039419213E00000X
IL016-004762213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43235800Medicaid
ILP00022949OtherRAILROAD MEDICARE
TXP01288996OtherRAILROAD MEDICARE
MOP01424200OtherRAILROAD MEDICARE
TX326857501Medicaid
IN300004417Medicaid
TX326857502Medicaid
WIP00625592OtherRAILROAD MEDICARE
TX326857503Medicaid
IL016004762Medicaid
MO1427092055Medicaid
TX326857501Medicaid
IN300004417Medicaid
WI810150013Medicare PIN
WI43235800Medicaid
WIK400223029Medicare PIN
TX320188YUM7Medicare PIN
MOP01424200OtherRAILROAD MEDICARE
MO1427092055Medicaid
WI000981015Medicare PIN
WIP00625592OtherRAILROAD MEDICARE
ILP00022949OtherRAILROAD MEDICARE
T80760Medicare UPIN
TX326857502Medicaid
WI000683045Medicare PIN
MO149620001Medicare PIN
WI864810021Medicare PIN
WI000885070Medicare PIN
ILP00022949OtherRAILROAD MEDICARE
TX326857502Medicaid
WI864990023Medicare PIN
WI001186492Medicare PIN
TX326857502Medicaid
WI001186492Medicare PIN
WI864990023Medicare PIN