Active NPI
Stephen W Houseworth, M.D.
- Orthopaedic Surgery Physician
- Newport, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20176
- Practice address
- 930 SW Abbey St Ste B
Newport, OR 97365-4820 - Phone
- (541) 574-7235
- NPI assigned
- Sep 19, 2005
- Last updated
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD192659 | OR | |
| Orthopaedic Surgery Physician | 207X00000X | 20176 | MS | Primary |
Addresses
Primary practice location
930 SW Abbey St Ste B
Newport, OR 97365-4820
Mailing address
130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875
Other practice location 1
2516 Broadmoor Boulevard
Suite 3C
Monroe, LA 71201
Phone (318) 998-4460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1353264 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shouseworth186938@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Affinity Health Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
2516 Broadmoor Blvd
Ste 3C
Monroe, LA 71201
Phone (318) 807-4743
Interoperability endpoints
- shouseworth186938@samhealth.direct-ci.com
- shouseworth44671@direct.southcoast.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Monroe, LA
- NPI 1023291226
-
dba Affinity Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1053306894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DESIARD ST",
"address_2": "SUITE 355",
"city": "MONROE",
"state": "LA",
"postal_code": "712017319",
"telephone_number": "318-807-7875",
"fax_number": "318-812-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 SW ABBEY ST STE B",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654820",
"telephone_number": "541-574-7235"
}
],
"practiceLocations": [
{
"address_1": "2516 Broadmoor Boulevard",
"address_2": "Suite 3C",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "71201",
"country_code": "US",
"telephone_number": "318-998-4460",
"fax_number": "318-998-4462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSEWORTH",
"first_name": "STEPHEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD192659",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MS",
"license": "20176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1353264",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shouseworth186938@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "930 SW Abbey St Ste B",
"city": "Newport",
"state": "OR",
"country_code": "US",
"postal_code": "973654820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.