Organization Active NPI

Stephen R Feagins M.D., LLC

  • Internal Medicine Physician
  • Springfield, OH
National Provider Identifier
1205016433
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071290 Issued in OH
Legal business name
STEPHEN R FEAGINS M.D., LLC
Practice address
247 S Burnett Rd
Suite 220
Springfield, OH 45505-2639
Phone
(937) 323-1187
Fax
(937) 323-1456
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Stephen R Feagins, M.D.NPI 1265423941
Title
Owner/Physician
Phone
(937) 323-1187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35071290 OH Primary

Addresses

Primary practice location

247 S Burnett Rd
Suite 220
Springfield, OH 45505-2639

Mailing address

247 S Burnett Rd
Suite 220
Springfield, OH 45505-2639
Phone (937) 323-1187

Other identifiers 4

IdentifierTypeStateIssuer
0401897OtherOHUNITED HEALTHCARE OF OHIO
2559361OtherOHAETNA
2233005MedicaidOH
000000195864OtherOHANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1205016433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "address_2": "SUITE 220",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-323-1187",
            "fax_number": "937-323-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "address_2": "SUITE 220",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-323-1187",
            "fax_number": "937-323-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R FEAGINS M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "FEAGINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "937-323-1187",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF OHIO",
            "identifier": "0401897",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2559361",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2233005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000195864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.