STEPHEN C. PAYNE (NPI# 1003871518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003871518 |
| Entity Type | Individual |
| Full Name | STEPHEN C. PAYNE |
| Credential | MD |
| Practice Address |
115 Huston Dr Shepherdsville KY 40165-7250 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5029557311 |
| Practice Fax Number | 5029559694 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21547 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHA / NMA | 1193086 | 01 | |
| PASSPORT ADVANTAGE / NMA | 2436670000 | 01 | |
| CIGNA / NMA | 2560936001 | 01 | |
| ANTHEM / NMA | 000000350681 | 01 | |
| HUMANA / NMA | 000052154D | 01 | |
| PASSPORT / NMA | 1110144 | 01 | |
| KY | 64215478 | 05 | |
| SIHO / NMA | 009119 | 01 | |
| KY | RAILROAD MEDICARE | P00181554 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326118803 | Stephen K. Payne | Dentist | 13301 Midlothian Tpke, Suite A, Midlothian, VA 23113-4211 | 2006-11-09 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| 1134190150 | Stephen L Payne | Family Medicine | 227 Adams Road, Williamstown, MA 01267 | 2006-01-28 |
| 1649260530 | Stephen R Payne | Specialist | 148 Fairfield St, St Albans, VT 05478-1729 | 2005-10-24 |
| 1013496710 | Stephen Robert Payne | Nurse Practitioner | 10701 Nall Ave Ste 200, Overland Park, KS 66211-1358 | 2018-08-13 |
| Street Address |
115 HUSTON DR |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-7250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073168381 | Nathan Glen Hobbs | Physical Therapist | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2019-08-04 |
| 1528509460 | Amanda Jolene Parker | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2017-03-11 |
| 1851834295 | Ryan Hamilton | Physical Therapist | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2016-12-01 |
| 1992258347 | Christopher Hartlage | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2016-08-02 |
| 1073855433 | Libby Wilson Mims | Pediatrics | 115 Huston Dr, Suite 2, Shepherdsville, KY 40165-7250 | 2013-03-25 |
| 1477810687 | First Urology, Psc | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2012-04-12 |
| 1538337886 | Christina N. Caswell | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2008-02-20 |
| 1538295845 | Larry Madison Ryle | Internal Medicine | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2007-02-23 |
| 1518031269 | Heather A Potter | Nurse Practitioner | 115 Huston Dr, Suite 1, Shepherdsville, KY 40165-7250 | 2006-11-17 |
| 1629010889 | Charles Kevin Owens | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770950156 | Acer Health Inc | Family Medicine | 1553 Highway 44 E, Shepherdsville, KY 40165-7183 | 2015-09-01 |
| 1699032284 | Michele Fass | Family Medicine | 115 Huston Dr. Ste1, Shepherdsville, KY 40165-7520 | 2012-04-19 |
| 1821354820 | Samuel Terrell Vanover | Family Medicine | 3130 Bells Mill Road, Shepherdsville, KY 40165-6905 | 2012-04-04 |
| 1437214731 | Joseph Koenigsmark | Family Medicine | 407 Zinnia Way, Shepherdsville, KY 40165-9663 | 2006-12-27 |
| 1003810987 | Charlotte Kay Ingwersen | Family Medicine | 187 Adam Shepherd Pkwy Ste 5, Shepherdsville, KY 40165-7500 | 2005-06-09 |
| 1164614368 | Iroquois Medical Center,p.s.c. | Family Medicine | 1905 W Hebron Ln, Suite 103, Shepherdsville, KY 40165-7465 | 2007-08-13 |
| 1407811771 | Susan G Johns | Family Medicine | 115 Huston Dr, Suite 1, Shepherdsville, KY 40165-7250 | 2006-04-19 |
| 1043275779 | James R Cundiff | Family Medicine | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2006-04-18 |
| 1588642425 | Waqar A Saleem | Family Medicine | 1905 W Hebron Ln, Suite 103, Shepherdsville, KY 40165-7465 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.