Individual provider Active NPI

Elizabeth Ann Stedman, D.C.

  • Chiropractor
  • Saint Louis, MI
National Provider Identifier
1457346116
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005733 Issued in MI
Practice address
1883 W Monroe Rd
Suite B
Saint Louis, MI 48880-8702
Phone
(989) 681-2533
Fax
(989) 681-2533
NPI assigned
Sep 19, 2005
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005733 MI Primary
Chiropractor 111N00000X ES005733 MI

Addresses

Primary practice location

1883 W Monroe Rd
Suite B
Saint Louis, MI 48880-8702

Mailing address

1883 W Monroe Rd
Suite B
Saint Louis, MI 48880-8702
Phone (989) 681-2533

Other identifiers 2

IdentifierTypeStateIssuer
0B95209OtherMIBCBS
2849354MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000042 MI Practitioner - Chiropractic 8224296934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stedman Chiropractic Centre PCGroup PAC ID 4486892924, 2 clinicians

Practice addresses (Care Compare)

1883 W Monroe Rd
Unit B
Saint Louis, MI 48880-8702
Phone (989) 681-2533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ES005733MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stedman Chiropractic Centre, P.C. Chiropractor CurrentSince Jun 3, 2013 Accepting new patients
Timothy D. Studt, D.C., P.C. Chiropractor CurrentSince Jun 3, 2013 Accepting new patients

Locations

1883 W Monroe Rd
Unit B
Saint Louis, MI 48880
Phone (989) 681-2533

Organizations & group practices 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1457346116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 W MONROE RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488808702",
            "telephone_number": "989-681-2533",
            "fax_number": "989-681-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 W MONROE RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488808702",
            "telephone_number": "989-681-2533",
            "fax_number": "989-681-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005733",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "ES005733",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B95209",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2849354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.