Mark Douglas Stephan, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 185090 Issued in OH

Practice address

3563 Edler St
Hilliard, OH 43026-1812

Phone

(614) 777-5115

NPI assigned

Dec 30, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689730723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 WESTON WOODS DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198354",
            "telephone_number": "614-870-8898",
            "fax_number": "614-870-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 EDLER ST",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261812",
            "telephone_number": "614-777-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 185090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IP NUMBER",
            "identifier": "2137182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graycesarah M Steele
• Robert N. Steensen, M.D.
• Zachary Stefan, DMD
• Barbara J. Stefanini, PA-C
• Jerrod Steimle, D.O.
• Macy Stevens
• Christian Hassani Stevenson
• Shannon L. Stevenson, DO
• Anita Lynn Stewart, LPN
• Joshua Stewart, DC

• Registered Nurse in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Registered Nurse in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.