STEPHEN J MATTHEWS (NPI# 1720198518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720198518 |
| Entity Type | Individual |
| Full Name | STEPHEN J MATTHEWS |
| Credential | MD |
| Practice Address |
1411 S Creasy Ln Suite 130 Lafayette IN 47905-7438 |
| Mailing Address |
5655 Hudson Dr Ste 210 Aris Radiology Hudson OH 44236-4455 |
| Practice Telephone | 7654477447 |
| Practice Fax Number | 7654471767 |
| Mailing Telephone | 3306551869 |
| Mailing Fax Number | 3306553828 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01040685A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000360303 | 01 |
| IN | 100363100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982099297 | Stephen Matthews | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Ste B130, Aurora, CO 80045-2549 | 2015-04-02 |
| 1225199342 | Stephen Mckown Matthews | Dentist | 200 Health Way Dr, Suite 1, Potosi, MO 63664-1434 | 2006-12-12 |
| Street Address |
1411 S CREASY LN SUITE 130 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095769 | Michael D Krauss | Internal Medicine | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2005-10-05 |
| 1174058507 | Lisa M Smith | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2017-04-24 |
| 1255887600 | Emily Martin | Physical Therapy Assistant | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-08-26 |
| 1881148708 | Rebecah Gray | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2016-08-09 |
| 1306294772 | Erica Zartman | Physical Therapist | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-05-26 |
| 1689053779 | Gusta Michelle Owens | Specialist/Technologist | 1411 S Creasy Ln, Ste 120, Lafayette, IN 47905-7438 | 2015-05-22 |
| 1285024273 | Mary Ritter | Occupational Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2015-01-28 |
| 1275933707 | Danielle Smith Amos | Physical Therapy Assistant | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-09-03 |
| 1275957938 | Sara E Blasing | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-02-14 |
| 1144642612 | Jessica Baumetz Dpt | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1578937744 | Modesto Radiological Medical Group | Radiology | 2283 Hidden Pond Ln, Lafayette, CA 94549-1742 | 2015-11-25 |
| 1629411210 | Lowell David Froker | Radiology | 32 Olympic Oaks Dr, Lafayette, CA 94549-4800 | 2013-04-12 |
| 1386987196 | Imaging Partners Medical Group | Radiology | 3976 Canyon Rd, Lafayette, CA 94549-2702 | 2013-03-29 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| 1578811386 | Maurice Louis Bercier | Radiology | 309 Steiner Road, Lafayette, LA 70508 | 2012-08-28 |
| 1295024222 | Lourdes Imaging Center LLC | Radiology | 4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508 | 2011-03-30 |
| 1467784744 | Delano Zeus Arvin | Radiology | 6233 N 700 E, Lafayette, IN 47905-9761 | 2010-02-11 |
| 1003045287 | Professional Radiology Network Tlc-prn, LLC | Radiology | 107 Kempton Dr, Lafayette, LA 70508-6547 | 2009-07-08 |
| Find all providers in LAFAYETTE | ||||
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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.