Active NPI
Stefanie Schupp Christian, MD
- Gynecology Physician
- Bay Village, OH
National Provider Identifier
1780826644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 55860
- Practice address
- 660 Dover Center Rd
Suite 2a
Bay Village, OH 44140-2370 - Phone
- (216) 406-7294
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 55860 | OH | Primary |
Addresses
Primary practice location
660 Dover Center Rd
Suite 2a
Bay Village, OH 44140-2370
Mailing address
660 Dover Center Road
Suite 2a
Bay Village, OH 44140
Phone (216) 406-7294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55860 | OH | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1780826644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 DOVER CENTER ROAD",
"address_2": "SUITE 2A",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "44140",
"telephone_number": "216-406-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 DOVER CENTER RD",
"address_2": "SUITE 2A",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402370",
"telephone_number": "216-406-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "STEFANIE",
"middle_name": "SCHUPP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "55860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.