Stephanie Southard, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02809 Issued in KY

Practice address

166 Hospital St
Monticello, KY 42633-2430

Phone

(606) 340-3251

Fax

(606) 348-0618

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospice of Lake Cumberland, Inc.

  • Community Based Hospice Care Agency
  • Somerset, KY
  • NPI 1851494124

  Family Medicine

  Medicare reassignment NPD
• Stephanie N Southard, PSC

  • Family Nurse Practitioner
  • Monticello, KY
  • NPI 1982831566
  NPD (past) Authorized official
• Koscienski & Foster PSC

  • Family Medicine Physician
  • Monticello, KY
  • NPI 1134322670
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720148356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-340-3251",
            "fax_number": "606-348-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-340-3251",
            "fax_number": "606-348-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 N Main St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "KY",
            "postal_code": "426332900",
            "country_code": "US",
            "telephone_number": "606-340-8825",
            "fax_number": "606-340-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "STEPHANIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "02809",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64061807",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiles Family Dentistry
• Smiles Family Dentistry
• Smith Chiropracitc,P.S.C.
• Jeffery Todd Smith, D.C.
• Margaret Smith, MSCCCSLP
• Mark Speck
• Raymond Bennett Speck, APRN
• James Arthur Staton IV, PHARMD
• Stephanie N Southard, PSC
• Stephanie N. Southard, PSC

• Family Medicine Physician in Monticello, KY
• Providers in Monticello, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.