Stephen Stanley Doudna II, D.C.
Individual provider Active NPI Chiropractor · Caldwell, OH
NPI 1063514743 · NPPES record last updated Feb 12, 2008
Key facts
- NPI
- 1063514743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1398 (OH)
- Practice address
- 400 North St
Suite #1
Caldwell, OH 43724-1217 - Phone
- (740) 732-4242
- Fax
- (740) 732-9980
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Doudna Chiropractic, LLC
Practice addresses (Care Compare)
400 N St
Suite 1
Caldwell, OH 43724
Phone (740) 732-4242
PO Box
Suite 114
Caldwell, OH 43724
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080219000241 | OH | Practitioner - Chiropractic | 2668555327 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1398 | OH | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1398 | OH | Yes |
Addresses
Primary practice location
400 North St
Suite #1
Caldwell, OH 43724-1217
Mailing address
PO Box 114
Caldwell, OH 43724-0114
Phone (740) 732-4242
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0741219 | Medicaid | OH |
Other providers in Caldwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.