Individual provider Active NPI

Steven E Ladenheim, MD

  • Otolaryngology Physician
  • Media, PA
National Provider Identifier
1841353091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD026913E Issued in PA
Practice address
125 Mansion Drive
Media, PA 19063-1019
Phone
(610) 565-8022
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD026913E PA Primary

Addresses

Primary practice location

125 Mansion Drive
Media, PA 19063-1019

Mailing address

125 Mansion Dr
Media, PA 19063-1019
Phone (610) 565-8022

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD026913EPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Otolaryngology Associates, LLC Otolaryngology PastSince Jan 1, 2014 Accepting new patients
Marlowe Zwillenberg & Ghaderi LLC Otolaryngology PastSince Aug 29, 2000 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/vHLmhTUEuZU9-C7EaUC6GMW9dKqEQxFt/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841353091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MANSION DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631019",
            "telephone_number": "610-565-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MANSION DRIVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631019",
            "telephone_number": "610-565-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADENHEIM",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD026913E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.