Individual provider Active NPI

Stephanie Dawn Diehlmann, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1790885283
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
122809 Issued in OH
Practice address
1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222
Phone
(614) 274-1455
Fax
(614) 274-2040
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 122809 OH Primary
Family Medicine Physician 207Q00000X L8044 TX

Addresses

Primary practice location

1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222

Mailing address

1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222
Phone (614) 274-1455

Other names 1

  • Stephanie Dawn Doenges Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20070730000578 TX Practitioner - Family Practice 8224139621 Reassigns benefits to 2 organizations
I20150107001298 OH Practitioner - Family Practice 8224139621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

224 E 2ND St
Dumas, TX 79029-3808
Phone (806) 934-7813

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122809OHMDFamily Medicine Physician
L8044TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of South Texas LLC CurrentSince Apr 16, 2019 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Moore County Hospital District Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Apr 1, 2015 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

1515 E 1st St
Ste 100
Dumas, TX 79029
Phone (806) 934-2983

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1790885283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43222",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43222",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHLMANN",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "122809",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DOENGES",
            "middle_name": "DAWN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.