Steven L Puderbaugh, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

523056 Issued in KS

Practice address

1314 N 36TH St
Saint Joseph, MO 64506-2357

Phone

(800) 952-8387

Fax

(913) 758-8387

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• St Francis Hospital and Medical Center Inc

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
  • NPI 1962501957
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043219454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 N. 36TH ST.",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645064613",
            "telephone_number": "800-952-8387",
            "fax_number": "913-758-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062357",
            "telephone_number": "800-952-8387",
            "fax_number": "913-758-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDERBAUGH",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "523056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Community Service
• Progressive Community Services
• Progressive Community Services
• Progressive Community Services
• Progressive Community Services
• Quality Hearing and Audiology Center LLC
• Quest Diagnostics Clinical Laboratories Inc
• Joanne Mayor Quilon, M.D.
• Victor J Quintero, RN ARNP CRNA
• Radiation Oncologists of Northwest Missouri LLC

• Family Medicine Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.