Individual provider Active NPI

Stephen G Poplar Jr., M.D.

  • Psychiatry Physician
  • Morgan City, LA
National Provider Identifier
1093875163
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
025634 Issued in LA
Practice address
500 Roderick St
Suite B
Morgan City, LA 70380-2247
Phone
(985) 380-2460
Fax
(985) 380-2476
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 025634 LA Primary

Addresses

Primary practice location

500 Roderick St
Suite B
Morgan City, LA 70380-2247

Mailing address

2100 Sawmill Rd
Apartment 2-303
River Ridge, LA 70123-5902
Phone (985) 380-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100618000340 TX Practitioner - Psychiatry 9537299433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

805 N Dickinson Dr
Rusk State Hospital
Rusk, TX 75785-1006
Phone (903) 683-3421

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025634LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients

Locations

805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093875163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SAWMILL RD",
            "address_2": "APARTMENT 2-303",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701235902",
            "telephone_number": "985-380-2460",
            "fax_number": "985-380-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RODERICK ST",
            "address_2": "SUITE B",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703802247",
            "telephone_number": "985-380-2460",
            "fax_number": "985-380-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLAR",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "025634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.