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NPI Code Detail

MEDICARE: DR. DONALD CHARLES STEPHENS III M.D.

MEDICARE: DR. DONALD CHARLES STEPHENS III 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
1207W00000XOphthalmology Physician3628OH
2207WX0107XRetina Specialist (Ophthalmology) Physician3628OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00191478OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000171260OTHERUNISON
4340976110DSOTHEROHSUMMA
5730481OTHEROHBUCKEYE
6000000354882OTHEROHANTHEM
7204862812OTHEROHUNITED HEALTHCARE
8341572960031OTHERCARESOURCE
97949318OTHEROHAETNA PPO

General Provider Information

NPI Number : 1952304685
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD CHARLES STEPHENS III M.D.
Provider Business Mailing Address
First Line : 518 WEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-2117
Country : US
Telephone Number : 330-630-9699
Fax Number : 330-630-2173
Provider Business Practice Location Address
First Line : 518 WEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-2117
Country : US
Telephone Number : 330-630-9699
Fax Number : 330-630-2173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2005
Last Update Date : 03/19/2019

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