STEPHEN HAVERKOS (NPI# 1235178716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235178716 |
| Entity Type | Individual |
| Full Name | STEPHEN HAVERKOS |
| Credential | MD |
| Practice Address |
379 Dixmyth Ave Cincinnati OH 45220 |
| Mailing Address |
4600 Wesley Ave Ste N Cincinnati OH 45212-2298 |
| Practice Telephone | 5132467800 |
| Practice Fax Number | 5132467852 |
| Mailing Telephone | 5132467800 |
| Mailing Fax Number | 5132467590 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35051733 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0667621 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174049233 | Stephen Haverkos | Dentist | 5754 Bridgetown Rd, Cincinnati, OH 45248-3100 | 2017-08-20 |
| Street Address |
379 DIXMYTH AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124091590 | Carolyn Stechschulte Trauth | Physical Therapist | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2006-02-08 |
| 1861951055 | Cynthia Schmidt | Nurse Practitioner | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2019-03-18 |
| 1689138760 | Nicholas Denlinger | Nurse Practitioner | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2019-01-23 |
| 1194224915 | Jenny Rodavich | Speech-Language Pathologist | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2018-02-07 |
| 1104325950 | Jenaye C Baumer | Speech-Language Pathologist | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2018-02-07 |
| 1245756766 | Shayna Patrice Matousek | Physical Therapist | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2017-08-16 |
| 1073058632 | Good Samaritan Hospital | General Acute Care Hospital | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2017-01-05 |
| 1730538323 | Megan Krallman | Family Medicine | 379 Dixmyth Ave, Cincinnati, OH 45220 | 2016-06-06 |
| 1033564612 | Casie Miller Blanton | Podiatrist | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2016-05-02 |
| 1790173797 | Trisha Weeks | Nurse Practitioner | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1811341936 | Bradley Daniel Ashman | Orthopaedic Surgery | 10663 Montgomery Road, Cincinnati, OH 45242 | 2016-04-14 |
| 1881031722 | Ankit Bansal | Orthopaedic Surgery | 4750 E Galbraith Rd Ste 105, Cincinnati, OH 45236-6706 | 2013-06-02 |
| 1366788846 | Bernard Bron Bacevich | Orthopaedic Surgery | 225 Hilltop Ln, Cincinnati, OH 45215-4121 | 2013-01-02 |
| 1477874402 | Edward H Miller | Orthopaedic Surgery | 9795 Fox Hollow Ln, Cincinnati, OH 45243-1629 | 2010-06-14 |
| 1053631192 | Matthew Brandon Beck | Orthopaedic Surgery | 10663 Montgomery Rd # A, Cincinnati, OH 45242-4403 | 2010-06-10 |
| 1740491273 | Patrick James Messerschmitt | Orthopaedic Surgery | 4440 Glen Este Withamsville Rd Ste 500, Cincinnati, OH 45245 | 2007-05-25 |
| 1144435553 | Michael Paczas | Orthopaedic Surgery | 538 Oak St Ste 200, Cincinnati, OH 45219-2554 | 2007-05-11 |
| 1497849731 | Thomas Arthur Bender | Orthopaedic Surgery | 3345 Whitfield Ave, Cincinnati, OH 45220-2083 | 2006-10-03 |
| 1336251388 | Raj Verrabhadra Kakarlapudi | Orthopaedic Surgery | 10475 Reading Rd Ste 115, Cincinnati, OH 45241-2500 | 2006-08-31 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.