SUSAN E STEDJE (NPI# 1215914247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215914247 |
| Entity Type | Individual |
| Full Name | SUSAN E STEDJE |
| Credential | MD |
| Practice Address |
2501 S Dixie Dr Kettering OH 45409-1523 |
| Practice Telephone | 9376433083 |
| Practice Fax Number | 9376433089 |
| Mailing Telephone | 9376433083 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2010-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35055621 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0740836 | 05 |
| Street Address |
2501 S DIXIE DR |
| City | KETTERING |
| State | OH |
| Zip Code | 45409-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366429342 | Carillon Family Practice Ltd | Family Medicine | 2501 S Dixie Dr, Kettering, OH 45409-1523 | 2005-12-29 |
| 1871570846 | Annette M Chavez | Family Medicine | 2501 S Dixie Dr, Kettering, OH 45409-1523 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| 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 |
|---|---|---|---|---|
| 1821361510 | William A Erwin | Family Medicine | 4717 Elzo Ln, Kettering, OH 45440-2026 | 2012-02-12 |
| 1376764944 | Letitia Canice Thompson-hargrave | Family Medicine | 513 E Stroop Rd, Kettering, OH 45429-3224 | 2007-05-01 |
| 1023102084 | Christian E. Koch | Family Medicine | 3080 Ackerman Blvd Ste 110, Kettering, OH 45429-3559 | 2006-10-03 |
| 1437256187 | Joseph Gregory Dudash | Family Medicine | 500 Lincoln Park Blvd Ste 220, Kettering, OH 45429-6404 | 2006-09-17 |
| 1134131519 | Carol Gaut Ryan | Family Medicine | 1360 E Stroop Rd, Kettering, OH 45429-4926 | 2006-08-13 |
| 1922051994 | Mvhe Inc | Family Medicine | 1525 E Stroop Rd, Suite 200, Kettering, OH 45429-5065 | 2006-05-18 |
| 1932163409 | James A. Derksen | Family Medicine | 1900 Composite Drive, Kettering, OH 45420-1475 | 2006-04-13 |
| 1366429342 | Carillon Family Practice Ltd | Family Medicine | 2501 S Dixie Dr, Kettering, OH 45409-1523 | 2005-12-29 |
| 1053307447 | Bradford J Murphy | Family Medicine | 3716 Wilmington Pike, Kettering, OH 45429-4845 | 2005-09-21 |
| 1184624413 | Arvin K Nanda | Family Medicine | 4441 Far Hills Ave, Kettering, OH 45429 | 2005-07-28 |
| Find all providers in KETTERING | ||||
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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.