Stephen Lawrence Archer, M.D.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

36117433 Issued in IL

Practice address

5841 S Maryland Ave
Mail Code 6080, University of Chicago
Chicago, IL 60637-1447

Phone

(773) 834-9748

Fax

(773) 702-8875

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386797843",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "350 OLSEN CLOSE",
            "city": "EDMONTON",
            "state": "ALBERTA",
            "postal_code": "T6R 1L1",
            "telephone_number": "780-407-3463",
            "fax_number": "780-407-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MAIL CODE 6080, UNIVERSITY OF CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-834-9748",
            "fax_number": "773-702-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "STEPHEN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "36117433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "36117433",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Archer Foot Clinic
• Archer Heights Healthcare LLC
• Archer Kedzie Imaging LLC (Archer Kedzie Imaging)
• Amy Archer, MD
• Shakeeta Rockell Archer
• Tonika Michelle Archer, AMFT
• Virginia Parker Archer, L.C.S.W.
• Ernesto Archeval
• Steven Andrew Archibald, M.D.
• Michael Archie, L.AC

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• 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.

Verify at the official NPI Registry.