Individual provider Active NPI

Stefan Eugene Cesarz, D.C.

  • Chiropractor
  • Hardinsburg, KY
National Provider Identifier
1003977687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KY 4111 Issued in KY
Practice address
112 Bank St
Hardinsburg, KY 40143-2580
Phone
(270) 756-1700
Fax
(270) 756-6205
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X KY 4111 KY Primary

Addresses

Primary practice location

112 Bank St
Hardinsburg, KY 40143-2580

Mailing address

112 Bank St
Hardinsburg, KY 40143-2580
Phone (270) 756-1700

Other identifiers 1

IdentifierTypeStateIssuer
85000602MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000161 KY Practitioner - Chiropractic 4688570203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Bank St
Hardinsburg, KY 40143-2580
Phone (270) 756-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY 4111KYMDChiropractor
4111KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardinsburg Chiropractic, PSC Chiropractor CurrentSince Jul 15, 1995 Accepting new patients

Networks

  • KY PPO
  • TN PPO C-SNP
  • KY PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • TN PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003977687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BANK ST",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432580",
            "telephone_number": "270-756-1700",
            "fax_number": "270-756-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BANK ST",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432580",
            "telephone_number": "270-756-1700",
            "fax_number": "270-756-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESARZ",
        "first_name": "STEFAN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "KY 4111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000602",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardinsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.