Stephen Wesley London, M.D.
Individual provider Active NPI Anesthesiology Physician · Oak Bluffs, MA
NPI 1487744868 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487744868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 47283 (MA)
- Practice address
- 1 Hospital Road
Oak Bluffs, MA 02557 - Phone
- (508) 693-9012
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111103000661 | HI | Practitioner - Anesthesiology | 0143493346 | Practice locations: Honolulu, HI; Kahului, HI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47283 | MA | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 47283 | MA | Yes |
Addresses
Primary practice location
1 Hospital Road
Oak Bluffs, MA 02557
Mailing address
PO Box 4291
Vineyard Haven, MA 02568-0932
Phone (508) 693-7578
Other providers in Oak Bluffs, MA
- Michele Denise Leblanc
- Nancy E Leport
- Lifeguard Medical Group,LLC
- Lisa Schroeder Physical Therapy
- Joseph Martin Litwak
- Jean Curtis Loud
- Emanna Louis
- Lindsay Anne Lynn
- Angelica Lyon
- Kevin Mabie
All providers in Oak Bluffs, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.