Individual provider Active NPI

Stephen Robert Shassberger

  • Obstetrics & Gynecology Physician
  • Athens, AL
National Provider Identifier
1639311640
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO.1362 Issued in AL
Practice address
22335 US Highway 72 Ste C
Athens, AL 35613-2611
Phone
(256) 233-5000
Fax
(256) 233-5361
NPI assigned
Apr 6, 2009
Last updated
Jul 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO.1362 AL Primary

Addresses

Primary practice location

22335 US Highway 72 Ste C
Athens, AL 35613-2611

Mailing address

22335 US Highway 72 Ste C
Athens, AL 35613-2611
Phone (256) 233-5000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130812000837 AL Practitioner - Obstetrics/Gynecology 4981846433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Women's HealthcareGroup PAC ID 3971828278, 10 clinicians

Practice addresses (Care Compare)

1304 13TH Ave SE
Suite B
Decatur, AL 35601-4316
Phone (256) 355-9216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1362ALMDPsychologist
DO.1362ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Womens Healthcare CurrentSince Jan 27, 2019 Accepting new patients
Marshall Medical Center South Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Decatur Morgan Neurology Past Accepting new patients
HH Health System - Athens Limestone, LLC Past Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients

Locations

2525 US Highway 431
Ste 200
Boaz, AL 35957
Phone (256) 593-2221

1215 7th St SE
Ste 240
Decatur, AL 35601
Phone (205) 355-5315

1304 13th Ave SE
Ste B
Decatur, AL 35601
Phone (256) 355-9216

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1639311640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-233-5000",
            "fax_number": "256-233-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-233-5000",
            "fax_number": "256-233-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASSBERGER",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "DO.1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.