Stephan Scott Corder, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0418093 Issued in KS

Practice address

214 E Logan St
Ottawa, KS 66067-2013

Phone

(785) 242-7773

NPI assigned

Sep 13, 2005

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Ottawa Medical Services, Inc.

  dba Ottawa West

  • Assisted Living Facility
  • Ottawa, KS
  • NPI 1972597029
  NPD (past)
• Ottawa Retirement Plaza, Inc.

  dba Ottawa Plaza

  • Assisted Living Facility
  • Ottawa, KS
  • NPI 1710971858
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1174518526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N BENNETT RD",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679794",
            "telephone_number": "785-242-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E LOGAN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672013",
            "telephone_number": "785-242-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "STEPHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "0418093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131720A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cof Training Services, Inc
• Cof Training Services, Inc
• Mona M Coffman
• Comfortcare Homes of Ottawa, LLC
• Kevin Joseph Cook, D.C.
• Cosentino Group Inc (Price Chopper Pharmacy #405)
• County of Franklin
• County of Franklin (Franklin County Health Department)
• CPF Senior Living - Ottawa LLC (Vintage Park at Ottawa)
• Sally M Crawford-Fowler, LSCSW

• General Practice Physician in Ottawa, KS
• Providers in Ottawa, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.