DR. PAUL PHILLIP STEPANCZUK (NPI# 1780788190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780788190 |
| Entity Type | Individual |
| Full Name | DR. PAUL PHILLIP STEPANCZUK |
| Credential | DPM |
| Practice Address |
1650 45th Ave Munster IN 46321-3962 |
| Practice Telephone | 2198369488 |
| Practice Fax Number | 2198369497 |
| Mailing Telephone | 2198369488 |
| Mailing Fax Number | 2198369497 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
07000758 | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS BL SHIELD | 6002117465 | 01 |
| IL | BLUE CROSS BL SHIELD | 90000152 | 01 |
| Street Address |
1650 45TH AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-3962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242854 | Munster Medical Research Foundation Inc | Internal Medicine | 1650 45th Ave, Suite C, Munster, IN 46321-3962 | 2005-08-22 |
| 1801270756 | Midwest Cpap Supplies LLC | Durable Medical Equipment & Medical Supplies | 1650 45th Ave, Suite 2a, Munster, IN 46321-3962 | 2015-07-09 |
| 1598144040 | Layous LLC | Clinic/Center | 1650 45th Ave, Suite E/ 2a, Munster, IN 46321-3962 | 2015-05-29 |
| 1912385733 | Nicole E Johnson | Occupational Therapist | 1650 45th Ave, Ste 2d, Munster, IN 46321-3962 | 2015-05-13 |
| 1790177228 | Home Cpap Dme LLC | Durable Medical Equipment & Medical Supplies | 1650 45th Ave, Suite E, Munster, IN 46321-3962 | 2015-02-20 |
| 1861881567 | Janice Stepanczuk | Social Worker | 1650 45th Ave, Munster, IN 46321-3962 | 2015-01-18 |
| 1932514395 | Sethi LLC | Internal Medicine | 1650 45th Ave, Suite 2a, Munster, IN 46321-3962 | 2014-06-24 |
| 1740607480 | Pulmonology and Allergy Associates | Clinic/Center | 1650 45th Ave, Suite 2a, Munster, IN 46321-3962 | 2014-03-19 |
| 1821392796 | Alan N. Gordon, Od, Inc. | Optometrist | 1650 45th Ave, Suite I, Munster, IN 46321-3962 | 2011-01-06 |
| 1760782478 | Barbara Deramona | Social Worker | 1650 45th Ave, Munster, IN 46321-3962 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192716 | Indiana Foot and Ankle Specialist LLC | Podiatrist | 2106 W Mcgalliard Rd, Muncie, IN 47304-2150 | 2020-10-21 |
| 1174020549 | Make Yourself, LLC | Podiatrist | 128 W 5th St, Peru, IN 46970-2139 | 2018-04-11 |
| 1689805061 | Fredericka Alona Wilson | Podiatrist | 4010 W 86th St Ste A, Indianapolis, IN 46268-1779 | 2009-08-03 |
| 1801032248 | Parkview Health System, Inc. | Podiatrist | 306 Maumee St, Suite 2, Angola, IN 46703-2035 | 2009-01-06 |
| 1629214069 | Parkview Health System, Inc. | Podiatrist | 410 E. Mitchell St., Kendallville, IN 46755-1890 | 2009-01-06 |
| 1811142250 | Charles W. Kelley IIi D.p.m. | Podiatrist | 5602 Madison Ave, Indianapolis, IN 46227-4625 | 2008-11-26 |
| 1780846139 | Accredited Foot Surgeons | Podiatrist | 9007 Indianapolis Blvd, Suite B, Highland, IN 46322-2575 | 2008-06-26 |
| 1952523508 | Aboite Podiatry Associates PC | Podiatrist | 7559 West Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2007-05-03 |
| 1487749305 | John L Trench IIi | Podiatrist | 1216 Wabash Ave, Terre Haute, IN 47807-3312 | 2006-10-04 |
| 1770699522 | Gregory A Schweikher | Podiatrist | 2020 Union St Ste 100, Lafayette, IN 47904-2694 | 2006-08-22 |
| Find all providers with the same taxonomy | ||||
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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.