NPIMap

Individual provider Active NPI

Stephanie Evelyn Richcreek, DO

  • Family Medicine Physician
  • Coshocton, OH
National Provider Identifier
1447750823
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.015041 Issued in OH
Practice address
311 S 15TH St Ste 101
Coshocton, OH 43812-1874
Phone
(740) 622-0332
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.015041 OH Primary

Addresses

Primary practice location

311 S 15TH St Ste 101
Coshocton, OH 43812-1874

Mailing address

4461 State Route 159 Ste a
Chillicothe, OH 45601-6000

Other practice location 1

4461 State Route 159 Ste A
Chillicothe, OH 45601-6000
Phone (740) 779-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823001243 OH Practitioner - Family Practice 2668729906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

311 S 15TH St
St 101
Coshocton, OH 43832-1874
Phone (740) 622-0332

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015041OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coshocton County Memorial Hospital Association Current Accepting new patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Aug 21, 2021 Accepting new patients
Prime Healthcare Foundation - Coshocton, LLC CurrentSince Aug 21, 2021 Accepting new patients
Coshocton Surgical Clinic Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 101102
Coshocton, OH 43812

311 S 15th St
Ste 101
Coshocton, OH 43812
Phone (740) 295-3360

406 S 15th St
Ste 2
Coshocton, OH 43812
Phone (740) 623-4440

311 S 15th St
Ste 102
Coshocton, OH 43812
Phone (740) 622-0332

6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515

221 Railroad St
Warsaw, OH 43844
Phone (740) 294-9006

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1447750823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STATE ROUTE 159 STE A",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456016000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 15TH ST STE 101",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121874",
            "telephone_number": "740-622-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 State Route 159 Ste A",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456016000",
            "country_code": "US",
            "telephone_number": "740-779-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHCREEK",
        "first_name": "STEPHANIE",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.