DR. STEPHEN STIVERS DPM NPI 1578604005

NPI Information

NPI: 1578604005
Provider Name: DR. STEPHEN STIVERS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
2000 KENTUCKY AVE
PADUCAH, KY
ZIP 42003
Phone: (270) 444-9011
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DR. Stephen Stivers, DPM is a podiatrist in Paducah, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Stephen Stivers, DPM NPI is 1578604005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 KENTUCKY AVE
PADUCAH, KY
ZIP 42003-202
Phone: (270) 444-9011
Fax: (270) 444-9902

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		163	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0694401	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	PROVIDER ID
2	T54166	MEDICARE UPIN	KENTUCKY
3	62186125242003A001	OTHER	KENTUCKY	WPS TRICARE FOR LIFE
4	000000204311	OTHER	KENTUCKY	BLUE CROSS BLUE SHIELD ID
5	137000	OTHER	KENTUCKY	HEALTHLINK PROVIDER ID
6	KY0057841	OTHER	KENTUCKY	TRICARE NORTH PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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