Active NPI
Scott A Stegbauer, MD
- Orthopaedic Surgery Physician
- Kinston, NC
National Provider Identifier
1104911155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 200700995
- Practice address
- 701 Doctors Dr
Suite G
Kinston, NC 28501-1589 - Phone
- (252) 522-4446
- Fax
- (252) 522-4484
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 200700995 | NC | Primary |
Addresses
Primary practice location
701 Doctors Dr
Suite G
Kinston, NC 28501-1589
Mailing address
701 Doctors Dr
Suite G
Kinston, NC 28501-1589
Phone (252) 522-4446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461U | Other | NC | BCBS |
| 5907213 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14375 | SC | MD | Pharmacist |
| 200700995 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenoir Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Lenoir Memorial Hospital, Incorporated | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiology Technician
- Kinston, NC
- NPI 1013957414
-
- Certified Registered Nurse Anesthetist
- Kinston, NC
- NPI 1679517296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1104911155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 DOCTORS DR",
"address_2": "SUITE G",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011589",
"telephone_number": "252-522-4446",
"fax_number": "252-522-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 DOCTORS DR",
"address_2": "SUITE G",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011589",
"telephone_number": "252-522-4446",
"fax_number": "252-522-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGBAUER",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "200700995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1461U",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907213",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.