Individual provider Active NPI

Stephen Replogle, D.O.

  • General Practice Physician
  • Yuma, AZ
National Provider Identifier
1740297175
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2757 Issued in AZ
Practice address
11871 S Fortuna Rd
Yuma, AZ 85367-7686
Phone
(928) 342-9020
Fax
(928) 342-2158
NPI assigned
Aug 1, 2006
Last updated
Dec 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2757 AZ Primary

Addresses

Primary practice location

11871 S Fortuna Rd
Yuma, AZ 85367-7686

Mailing address

11871 S Fortuna Rd
Yuma, AZ 85367-7686
Phone (928) 342-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2020 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Level 4 Medical Professional Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1740297175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11871 S FORTUNA RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677686",
            "telephone_number": "928-342-9020",
            "fax_number": "928-342-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11871 S FORTUNA RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677686",
            "telephone_number": "928-342-9020",
            "fax_number": "928-342-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPLOGLE",
        "first_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.