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NPI Code Detail

MEDICARE: DR. STEPHEN A CAWOOD M.D.

MEDICARE: DR. STEPHEN A CAWOOD M.D.
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
1207P00000XEmergency Medicine Physician31279KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000057464OTHERKYANTHEM PROV ID#
21054503OTHERKYPASSPORT PROV ID#
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356320840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN A CAWOOD M.D.
Provider Business Mailing Address
First Line : 100 MALLARD CREEK RD
Second Line : SUITE 406
City : LOUISVILLE
State : KY
Zip : 40207-4194
Country : US
Telephone Number : 502-896-1881
Fax Number : 502-895-4586
Provider Business Practice Location Address
First Line : 4001 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4714
Country : US
Telephone Number : 502-893-1084
Fax Number : 502-894-1324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 04/11/2014

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Directions to “ DR. STEPHEN A CAWOOD M.D.” Practice Location

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