Individual provider Active NPI

Stephen Robert Verbeck, M.D.

  • Gastroenterology Physician
  • Akron, OH
National Provider Identifier
1932291895
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35046964V Issued in OH
Practice address
95 Arch St
Ste. 100
Akron, OH 44304
Phone
(330) 253-1800
Fax
(330) 253-3955
NPI assigned
Sep 29, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35046964V OH Primary

Addresses

Primary practice location

95 Arch St
Ste. 100
Akron, OH 44304

Mailing address

95 Arch St
Ste. 100
Akron, OH 44304
Phone (330) 253-1800

Other identifiers 3

IdentifierTypeStateIssuer
0572353OtherOHMEDICARE ID
0608999MedicaidOH
VE9259851OtherOHMEDICARE ID

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
35046964VOHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1932291895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "STE. 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44304",
            "telephone_number": "330-253-1800",
            "fax_number": "330-253-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "STE. 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44304",
            "telephone_number": "330-253-1800",
            "fax_number": "330-253-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBECK",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35046964V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0572353",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608999",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "VE9259851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.