Individual provider Active NPI

Stephen Eugene Hunter, D.O.

  • Emergency Medicine Physician
  • Louisville, MS
National Provider Identifier
1699935908
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20913 Issued in MS
Practice address
100 Ellie Smith Rd
Louisville, MS 39339
Phone
(662) 803-7190
NPI assigned
Jun 10, 2008
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20913 MS Primary

Addresses

Primary practice location

100 Ellie Smith Rd
Louisville, MS 39339

Mailing address

100 Ellie Smith Rd
Louisville, MS 39339-9440
Phone (662) 803-7190

Other practice location 1

562 E Main St
Louisville, MS 39339-2742
Phone (662) 779-5150

Other identifiers 1

IdentifierTypeStateIssuer
1093688MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110726000450 MS Practitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 0345418901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Emergency Services LLCGroup PAC ID 5698102465, 13 clinicians

Practice addresses (Care Compare)

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 446-1072

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winston County Medical Foundation CurrentSince Sep 4, 2011 Accepting new patients
WMC Emergency Services LLC CurrentSince Sep 1, 2020 Accepting new patients
Attala Emergency Group LLC Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Winston County Medical Foundation Past Accepting new patients

Locations

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

Interoperability endpoints

  • Direct secure messaging: stephen.hunter.1@15070.direct.athenahealth.com

Organizations & group practices 4

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1699935908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELLIE SMITH RD",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393399440",
            "telephone_number": "662-803-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELLIE SMITH RD",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "39339",
            "telephone_number": "662-803-7190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "562 E Main St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393392742",
            "country_code": "US",
            "telephone_number": "662-779-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "STEPHEN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "20913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093688",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.