Stephen Nunenmacher

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MS12528 Issued in MS

Practice address

2809 Denny Ave
Pascagoula, MS 39581-5301

Phone

(228) 809-5000

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Mississippi School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• River Chase Village Nursing home, Gautier, MS, CCN 255289

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sentry-Gautier, Inc.

  dba River Chase Village

  • Nursing Facility/Intermediate Care Facility
  • Gautier, MS
  • NPI 1962508119

  Adp of the SNF

  CMS ownership

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.

• Archon Med LLC

  • Emergency Medicine Physician
  • Gautier, MS
  • NPI 1285213546
  Medicare reassignment Authorized official
• Emergency Room Group LTD

  • Emergency Medicine Physician
  • Pascagoula, MS
  • NPI 1093112039
  Medicare reassignment NPD
• Hancock Emergency Group LLC

  • Emergency Medicine Physician
  • Bay St Louis, MS
  • NPI 1295142396
  Medicare reassignment NPD
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  Medicare reassignment NPD
• Singing River Health System

  dba Ocean Springs Hospital Professional Fees

  • Internal Medicine Physician
  • Ocean Springs, MS
  • NPI 1053528109

  Emergency Medicine

  NPD
• Sentry-Gautier, Inc.

  dba River Chase Village

  • Nursing Facility/Intermediate Care Facility
  • Gautier, MS
  • NPI 1962508119
  NPD (past)
• Singing River Hospital System

  dba The Neurosurgery Center

  • Neurological Surgery Physician
  • Pascagoula, MS
  • NPI 1629288931
  NPD (past)

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

• Sentry-Gautier, Inc.

  dba River Chase Village

  • Nursing Facility/Intermediate Care Facility
  • Gautier, MS
  • NPI 1962508119

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487705042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNENMACHER",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "MS12528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113935",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericka Delania Nicholson
• Madison Dale Nickens
• Chiazo Nnawuchi-Ekenna, M.D.
• Darrah Amanda Norsworthy, NP
• Sharay T North
• Molly Rector O'Bryant, PHARM D
• Occupational Therapy by Emilia
• Ocean Bridge Hub
• Ochsner Mississippi, LLC (Ochsner Specialty Health Center - Pascagoula)
• Okee Ekenna, Inc

• Emergency Medicine Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.