Stephen H Church, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19565 Issued in KY

Practice address

4171 Westport Rd
Louisville, KY 40207-2739

Phone

(502) 896-8868

Fax

(502) 895-6278

NPI assigned

Jul 21, 2006

Last updated

Dec 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Louisville Pediatrics, P.S.C.

  dba East Louisville Pediatrics

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1699792465
  NPD (past)
• One Pediatrics, PLLC

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1063855450
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1801817564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072739",
            "telephone_number": "502-896-8868",
            "fax_number": "502-895-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072739",
            "telephone_number": "502-896-8868",
            "fax_number": "502-895-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "19565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64195654",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunkyo Andrew Chung
• Phillip Chuong
• Caroline Church, LPCA
• Kelly Ann Church, M.D.
• Patricia Marie Church, COTA/L
• Kalyn Nicole Churchill, APRN
• Churchman Pharmacy
• Robert G Churchman, ND, FIAMA, LMT
• Chyron LLC (The Underwood and Lee Clinic)
• Jenna Cianci, M.S. CF-SLP

• Pediatrics Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.