Susan Ellen Stephens, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

35056000 Issued in OH

Practice address

8007 Auburn Rd Ste 2
Concord TWP, OH 44077-9621

Phone

(440) 296-5915

Fax

(440) 709-8403

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1164476263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 AUBURN RD STE 2",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779621",
            "telephone_number": "440-296-5915",
            "fax_number": "440-709-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 AUBURN RD STE 2",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779621",
            "telephone_number": "440-296-5915",
            "fax_number": "440-709-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OH",
            "license": "35056000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Skaros, FNP
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• William J Sopchak, DC
• Gregory Thomas Stefano, M.D.
• Edward J Swinarski, PT
• Marie Tani, MD
• Cristina Faye Testen, AUD
• University Hospitals Cleveland Medical Center (UH Meds Tripoint Pharmacy)
• University Hospitals Medical Group, Inc

• Orthopaedic Surgery of the Spine Physician in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Orthopaedic Surgery of the Spine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.