Stephen Rioux, DO
Individual provider Active NPI Emergency Medicine Physician · Mickleton, NJ
NPI 1740209873 · NPPES record last updated Sep 2, 2010
Key facts
- NPI
- 1740209873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MB51600 (NJ)
- Practice address
- 140 W Tomlin Station Rd
Mickleton, NJ 08056-1319 - Phone
- (856) 845-9600
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120813000056 | KY | Practitioner - Emergency Medicine | 5698724078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB51600 | NJ | MD | Emergency Medicine Physician |
| 51600 | NJ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Physician Services LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Associates Company, LLC | Past | Accepting new patients | |
| Eps Billing, LLC | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Fenwick Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MB51600 | NJ | Yes |
Addresses
Primary practice location
140 W Tomlin Station Rd
Mickleton, NJ 08056-1319
Mailing address
140 W Tomlin Station Rd
Mickleton, NJ 08056-1319
Phone (856) 845-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421972000 | Other | NJ | AMERIHEALTH |
| 1077176 | Other | NJ | KEY/MER |
| 1710206 | Medicaid | NJ |
Other providers in Mickleton, NJ
- Carl Joseph Minniti Jr.
- Michele Solomon Moran
- National Mentor Healthcare, LLC
- Prime Gericare LLC
- Rita Reutter
- The Minniti Center for Medical Oncology and Hematology
- Kiera Traum
- Cherie Lynn Young
- Jeffrey Everett Zanow
All providers in Mickleton, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.