Steven C. Dickhaut, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E8435 Issued in TX

Legal business name

STEVEN C. DICKHAUT, M.D.

Practice address

4800 NE Stallings Dr Ste 110
Nacogdoches, TX 75965-1250

Phone

(936) 569-9443

Fax

(936) 560-5667

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Charmayne Dickhaut

Title

Office Manger

Phone

(936) 569-9443

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16994/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1174645774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR STE 110",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651250",
            "telephone_number": "936-569-9443",
            "fax_number": "936-560-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR STE 110",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651250",
            "telephone_number": "936-569-9443",
            "fax_number": "936-560-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C. DICKHAUT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "DICKHAUT",
        "authorized_official_first_name": "CHARMAYNE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "936-569-9443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E8435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1851349773",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896557-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen F. Austin State University Cole Audiology Lab
• Brent Alan Stephens, DDS
• Ginger Frances Stephens, LPC, LCDC
• Hunter Alan Stephens, DDS
• Kevin Wayne Stephens, M.D.
• Steven Overturf MD PLLC
• Kathy Stevens, ND
• Leila Taylor Stevens, LPC
• Brinson Stewart, FNP-C
• Kimberly D. Stewart, D.O.

• Specialist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.