Individual provider Active NPI

Stephen Dodds, M.D.

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1376521815
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-067237 Issued in OH
Practice address
750 Mount Carmel Mall
Suite 300
Columbus, OH 43222-1553
Phone
(614) 224-6420
Fax
(614) 224-6423
NPI assigned
Jan 5, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-067237 OH Primary

Addresses

Primary practice location

750 Mount Carmel Mall
Suite 300
Columbus, OH 43222-1553

Mailing address

PO Box 713189
Columbus, OH 43271-3189
Phone (440) 777-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000963 FL Practitioner - Emergency Medicine 4385635663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-067237OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Turtle Run Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Sailfish ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Medina County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients
Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1376521815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713189",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432713189",
            "telephone_number": "440-777-6017",
            "fax_number": "440-777-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-224-6420",
            "fax_number": "614-224-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-067237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.