Active NPI
Elizabeth Ann Stedman, D.C.
- Chiropractor
- Saint Louis, MI
National Provider Identifier
1457346116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005733
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B95209 | Other | MI | BCBS |
| 2849354 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ES005733 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stedman Chiropractic Centre, P.C. | Chiropractor | Current | Accepting new patients |
| Timothy D. Studt, D.C., P.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Saint Louis, MI
- NPI 1659426849
-
- Chiropractor
- Saint Louis, MI
- NPI 1689660326
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.