Individual provider Active NPI

Erick Stephanian, M.D.

  • Neurological Surgery Physician
  • Lafayette, IN
National Provider Identifier
1730106410
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G73185 Issued in CA
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

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090310000529 IN Practitioner - Neurosurgery 4587729413 Reassigns benefits to 1 organization
I20200122003218 FL Practitioner - Neurosurgery 4587729413 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Spinal fusion1-10
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

LicenseStateTypeSpecialty
G73185CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Aug 29, 2024 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Aug 29, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.