Active NPI
Steven Hedlesky, M.D.
- Emergency Medicine Physician
- Paris, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD0000019445
- Practice address
- 301 Tyson Ave
Paris, TN 38242-4544 - Phone
- (731) 642-1220
- Fax
- (731) 642-1220
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | O6886R | LA | |
| Emergency Medicine Physician | 207P00000X | MD0000019445 | TN | Primary |
Addresses
Primary practice location
301 Tyson Ave
Paris, TN 38242-4544
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1363375 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O6886R | LA | MD | Emergency Medicine Physician |
| MD0000019445 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Creek Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
200 Corporate Blvd
Lafayette, LA 70508
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
1429 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 426-0919
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Paris, TN
- NPI 1134627557
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1275602575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 TYSON AVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424544",
"telephone_number": "731-642-1220",
"fax_number": "731-642-1220"
}
],
"practiceLocations": [
{
"address_1": "1701 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018911",
"country_code": "US",
"telephone_number": "337-494-3036",
"fax_number": "337-494-2181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDLESKY",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "O6886R",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD0000019445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1363375",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.