Active NPI
Erick Stephanian, M.D.
- Neurological Surgery Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G73185
- Practice address
- 3750 Landmark Dr Ste B
Lafayette, IN 47905-6652 - Phone
- (765) 448-4100
- Fax
- (765) 448-7610
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G73185 | CA | Primary |
Addresses
Primary practice location
3750 Landmark Dr Ste B
Lafayette, IN 47905-6652
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Other practice location 1
202 W Willow Ave
Suite 305
Visalia, CA 93291-6238
Phone (559) 622-8687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Southern California Keck School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1513 N 6TH
Terre Haute, IN 47807-1039
Phone (812) 232-0564
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73185 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Usc Neurosurgeons, Inc. | Past | Accepting new patients |
Locations
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
1530 N 7th St
Ste 104
Terre Haute, IN 47807
Phone (812) 234-1344
1513 N 6th St
Terre Haute, IN 47807
Phone (812) 238-7631
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1530 N 7th St
Ste 107
Terre Haute, IN 47807
Phone (812) 238-4467
Interoperability endpoints
- estephanian@unionhealth.cernerdirect.com
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.
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
-
- Specialist
- Naples, FL
- NPI 1811177298
-
- Dermatology Physician
- Terre Haute, IN
- NPI 1407404940
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Specialist
- Los Angeles, CA
- NPI 1326009895
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1730106410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 LANDMARK DR STE B",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056652",
"telephone_number": "765-448-4100",
"fax_number": "765-448-7610"
}
],
"practiceLocations": [
{
"address_1": "202 W Willow Ave",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932916238",
"country_code": "US",
"telephone_number": "559-622-8687",
"fax_number": "559-622-8693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHANIAN",
"first_name": "ERICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G73185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.