Individual provider Active NPI

Stephen Allen Champlin, MD

  • Obstetrics & Gynecology Physician
  • Metairie, LA
National Provider Identifier
1255383147
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD09202R Issued in LA
Practice address
4228 Houma Blvd
Ste 410
Metairie, LA 70006-3021
Phone
(504) 883-3770
Fax
(504) 883-3711
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD09202R LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Ste 410
Metairie, LA 70006-3021

Mailing address

4228 Houma Blvd
Ste 410
Metairie, LA 70006-3021
Phone (504) 883-3770

Other identifiers 1

IdentifierTypeStateIssuer
1997978MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090402000319 LA Practitioner - Obstetrics/Gynecology 0042367369 Reassigns benefits to 2 organizations
I20260604004703 MS Practitioner - Obstetrics/Gynecology 0042367369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 410
Metairie, LA 70006-3021
Phone (504) 883-3770

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD09202RLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Aug 7, 2020 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Sep 26, 2021 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

4224 Houma Blvd
Ste 140
Metairie, LA 70006
Phone (504) 454-7721

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 454-0606

4228 Houma Blvd
Ste 330
Metairie, LA 70006
Phone (504) 454-5505

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

Interoperability endpoints

  • Direct secure messaging: stephen.champlin@direct.ejgh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1255383147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 410",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063021",
            "telephone_number": "504-883-3770",
            "fax_number": "504-883-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 410",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063021",
            "telephone_number": "504-883-3770",
            "fax_number": "504-883-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPLIN",
        "first_name": "STEPHEN",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD09202R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1997978",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.