MEDICARE: STEPHEN A HUFFMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01073343A	IN
2	207P00000X	Emergency Medicine Physician	065327H	OH
3	207Q00000X	Family Medicine Physician	T1102	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00390485	OTHER	OH	MEDICARE RAIL ROAD
6	P00109252	OTHER		RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000302752	OTHER	OH	BCBS
3	000000502159	OTHER	OH	ANTHEM
5	000000493499	OTHER	OH	ANTHEM/BCBS

General Provider Information

NPI Number	:	1801848338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN A HUFFMAN MD

Provider Business Mailing Address
First Line	:	862 BUCKEYE CT
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-2772
Country	:	US
Telephone Number	:	937-238-8912
Fax Number	:

Provider Business Practice Location Address
First Line	:	862 BUCKEYE CT
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-2772
Country	:	US
Telephone Number	:	937-238-8912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	12/08/2022

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Directions to “ STEPHEN A HUFFMAN MD” Practice Location

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