Stephen T Ang MD SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

STEPHEN T ANG MD SC

Practice address

1054 Martin Luther King Dr
Ste 120
Centralia, IL 62801-3000

Phone

(618) 532-1688

Fax

(618) 436-8081

NPI assigned

Sep 22, 2011

Last updated

Oct 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Ang, MDNPI 1346251071

Title

Physician

Phone

(618) 532-1688

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen T Ang, MD

  • Gastroenterology Physician
  • Centralia, IL
  • NPI 1346251071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1427331891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 MARTIN LUTHER KING DR",
            "address_2": "STE 120",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013000",
            "telephone_number": "618-532-1688",
            "fax_number": "618-436-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 MARTIN LUTHER KING DR",
            "address_2": "STE 120",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013000",
            "telephone_number": "618-532-1688",
            "fax_number": "618-436-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN T ANG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "ANG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-532-1688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088477",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Hospital, Centralia, Illinois (SSM Health St. Mary's Hospital - Centralia)
• St. Marys Good Samaritan Inc
• Katelyn Starr, PHARM D
• Matthew Tolman Stedelin, M.D.
• Julia Steinkamp, OTR/L
• Sthomas Sehy DPM LLC (Page Foot and Ankle)
• Megan Elizabeth Stinnett
• Rex Stombaugh, PA
• Heather Stover
• Linda S Stover, MSED LCPC

• Gastroenterology Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.