Stefanie a. Schultis, M.D., a.P.M.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

018419 Issued in LA

Legal business name

STEFANIE A. SCHULTIS, M.D., A.P.M.C.

Practice address

110 Lakeview Dr
Suite 100
Covington, LA 70433-7511

Phone

(985) 898-1940

Fax

(985) 893-3427

NPI assigned

Jan 14, 2009

Last updated

Jan 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stefanie A Schultis, M.D.NPI 1528065521

Title

Physician/Owner

Phone

(985) 898-1940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stefanie Alida Schultis, M.D.

  • Specialist
  • Covington, LA
  • NPI 1528065521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1033356928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKEVIEW DR",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337511",
            "telephone_number": "985-898-1940",
            "fax_number": "985-893-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKEVIEW DR",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337511",
            "telephone_number": "985-898-1940",
            "fax_number": "985-893-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE A. SCHULTIS, M.D., A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTIS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-898-1940",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "018419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Start Corporation (Start Pharmacy Covington)
• Start Corporation (Start Community Health Center)
• Leah Steele, LCSW
• Vicki Lynn Steen, MD
• Adamandios Stefanias
• Dionne M Stein, FNP
• Jeffrey J Stein, ACNP
• Susan A. Stein, LCSW
• Ashley P Steinhauer, NP
• Heather Spring Steinhauer, NP

• Specialist in Covington, LA
• Providers in Covington, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.