Individual provider Active NPI

Steven Hedlesky, M.D.

  • Emergency Medicine Physician
  • Paris, TN
National Provider Identifier
1275602575
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000019445 Issued in TN
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

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1363375MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN2 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
I20031122000049 LA Practitioner - Emergency MedicinePractitioner - General Practice 6507760352 Reassigns benefits to 1 organization
I20150507002207 TN Practitioner - Emergency Medicine 6507760352 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O6886RLAMDEmergency Medicine Physician
MD0000019445TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 1, 2014 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jun 1, 2014 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.

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

Verify at the official NPI Registry.