Active NPI
Stephen Lewis Hantman, MD
- Emergency Medicine Physician
- St Louis, MO
National Provider Identifier
1316010358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29105
- Practice address
- 10010 Kennerly
Dept of Emergency Service
St Louis, MO 63128-9923 - Phone
- (314) 525-1000
- Fax
- (314) 525-4868
- NPI assigned
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29105 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly
Dept of Emergency Service
St Louis, MO 63128-9923
Mailing address
237 Bluff View Circle
St Louis, MO 63129
Phone (314) 525-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29105 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316010358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 BLUFF VIEW CIRCLE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63129",
"telephone_number": "314-525-1000",
"fax_number": "314-525-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY",
"address_2": "DEPT OF EMERGENCY SERVICE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631289923",
"telephone_number": "314-525-1000",
"fax_number": "314-525-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANTMAN",
"first_name": "STEPHEN",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "29105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.