Stephen Fassino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01033201 Issued in IN

Practice address

276 Manchester Ave
Wabash, IN 46992-1808

Phone

(260) 563-2126

Fax

(260) 563-2120

NPI assigned

Nov 1, 2006

Last updated

Mar 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: stephen.fassinomd.p77@direct.ahni.nextgenshare.com

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1407933393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921808",
            "telephone_number": "260-563-2126",
            "fax_number": "260-563-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921808",
            "telephone_number": "260-563-2126",
            "fax_number": "260-563-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSINO",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01033201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385440",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.fassinomd.p77@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "276 Manchester Ave",
            "city": "Wabash",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469921808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole R Enslen
• Family Chiropractic PC
• Family Physicians Associated
• Farlow Enterprises, Inc.
• Bradley A Farlow, O.D.
• Kelsey Ferguson
• Elizabeth L. Finicle, MA
• Foreman Care Corp (Senior Helpers)
• Fort Wayne Taxi LLC
• Bing Martin Fowler, D.D.S.

• Family Medicine Physician in Wabash, IN
• Providers in Wabash, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.