Stephen James Haudrich, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19347 Issued in NE

Practice address

4900 N 26TH St
Suite 104
Lincoln, NE 68521-4746

Phone

(402) 465-0010

Fax

(402) 465-0015

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Arizona PAGroup PAC ID 5991886020, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care of Arizona PA

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1780873307
  Medicare reassignment Care Compare group NPD
• Downtown Physicians Group

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1942270350
  NPD (past)
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  Family Medicine

  NPD (past)
• St John'S Mercy Medical Group

  • Family Nurse Practitioner
  • Arnold, MO
  • NPI 1326174079
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790849123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 S 31ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025208",
            "telephone_number": "402-420-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N 26TH ST",
            "address_2": "SUITE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214746",
            "telephone_number": "402-465-0010",
            "fax_number": "402-465-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUDRICH",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Hatcher
• Kari Hatcliff
• Gregory J Hattan, MD
• Robin Hattervig, DDS
• Brittany Hauck, PA-C
• Maxann Hauff
• Jennifer Hauptman
• Joyce Hauser
• Elissa Ann Haussler, RN
• Danica Kae Hauxwell, PHARMD, RPH

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.