Individual provider Active NPI

Stephen E. Litsey, M.D.

  • Obstetrics & Gynecology Physician
  • Auburn, AL
National Provider Identifier
1033150693
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13410 Issued in AL
Practice address
2375 Champions Blvd
Auburn, AL 36830-6471
Phone
(334) 745-6447
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13410 AL Primary

Addresses

Primary practice location

2375 Champions Blvd
Auburn, AL 36830-6471

Mailing address

2375 Champions Blvd
Auburn, AL 36830-6471
Phone (334) 745-6447

Other identifiers 1

IdentifierTypeStateIssuer
510-81797OtherALBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000218 AL Practitioner - Obstetrics/Gynecology 8729000708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13410ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1033150693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 CHAMPIONS BLVD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306471",
            "telephone_number": "334-745-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 CHAMPIONS BLVD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306471",
            "telephone_number": "334-745-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITSEY",
        "first_name": "STEPHEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "13410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "510-81797",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.