KYLE STEPHENSON (NPI# 1750647608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750647608 |
| Entity Type | Individual |
| Full Name | KYLE STEPHENSON |
| Practice Address |
3125 S Scatterfield Rd Ste 210 Anderson IN 46013 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7652984311 |
| Practice Fax Number | 7652984312 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 02005437A | IN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
02005437A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300015335 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 Jordan Rd, Indianapolis, IN 462174007 | 3179086458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467818641 | Kyle R Stephenson | Psychologist | 900 State St, Psychology Department, Salem, OR 97301-3922 | 2016-01-04 |
| Street Address |
3125 S SCATTERFIELD RD STE 210 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405371 | Brett Thomas Krepps | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1802 | 2005-08-23 |
| 1588149538 | Amanda Pearl Andrews | Specialist/Technologist | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1804 | 2018-09-26 |
| 1285952382 | Alicia Lysiuk | Specialist/Technologist | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1804 | 2010-05-13 |
| 1922158997 | Michael Shannon Todd | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1497989164 | Jay Naresh Shah | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2009-05-11 |
| 1629215298 | Cannon Memorial Hospital | Orthopaedic Surgery | 3722 Clemson Blvd, Suite A, Anderson, SC 29621-1317 | 2009-01-19 |
| 1508083882 | Larry Dennis Ratliff | Orthopaedic Surgery | 446 Cathey Rd, Anderson, SC 29621-3614 | 2007-04-19 |
| 1063405371 | Brett Thomas Krepps | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1802 | 2005-08-23 |
| 1285052753 | Hunter Hsu | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2014-04-02 |
| 1003111063 | Brian E Camilleri | Orthopaedic Surgery | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2011-01-21 |
| 1871808188 | Anmed Health | Orthopaedic Surgery | 2000 E Greenville St, Suite 3950, Anderson, SC 29621-1580 | 2010-08-11 |
| 1609004761 | John Charles Saunders IIi | Orthopaedic Surgery | 2000 E Greenville St, Suite 3950, Anderson, SC 29621-1580 | 2009-06-29 |
| 1740464221 | Anmed Health | Orthopaedic Surgery | 112 Montgomery Dr, Anderson, SC 29621-3334 | 2007-12-20 |
| Find all providers in ANDERSON | ||||
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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.