STEPHEN JAMES MITTELSTAEDT (NPI# 1407875719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407875719 |
Entity Type | Individual |
Full Name | STEPHEN JAMES MITTELSTAEDT |
Credential | M.D. |
Practice Address |
103 Omni Dr Ste B Seneca SC 29672-9448 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8648869250 |
Practice Fax Number | 8648869251 |
Mailing Telephone | 8647976303 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2018-02-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 33135 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 331359 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
701 Grove Rd, Greenville, SC 296055611 | 8644557000 |
Street Address |
103 OMNI DR STE B |
City | SENECA |
State | SC |
Zip Code | 29672-9448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669009478 | Robert Merck | Surgery | 103 Omni Dr Ste B, Seneca, SC 29672-9448 | 2020-03-24 |
1821401233 | Geoffrey Hunter Yurcisin | Surgery | 103 Omni Dr Ste B, Seneca, SC 29672-9448 | 2014-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
Find all providers in zip 29672 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912498304 | Mustapha El Lakis | Surgery | Upmc Northwest 100 Fairfield Drive, Seneca, PA 16346 | 2018-05-22 |
1316919467 | Carolina Surgery, Pa | Surgery | 109 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2006-02-03 |
1770555963 | Jorge Tolmos | Surgery | 102 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2006-02-02 |
1992776371 | Keowee Surgical Clinic P.a. | Surgery | 2 Lea's Courtyard Cliffabee Lea's, Seneca, SC 29679 | 2006-02-01 |
1437136108 | Upstate Surgery Pa | Surgery | 16 Accountants Cir, Seneca, SC 29678-2670 | 2005-12-23 |
1497731368 | Palmetto Surgery Associates, Pa | Surgery | 107 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2005-12-21 |
1487630422 | Michael W Paluzzi | Surgery | 108 Nimmons Cir, Seneca, SC 29678-0838 | 2005-12-21 |
1447243647 | David J Lamon | Surgery | 100 Omni Dr Ste B, Seneca, SC 29672-9448 | 2005-08-24 |
1669009478 | Robert Merck | Surgery | 103 Omni Dr Ste B, Seneca, SC 29672-9448 | 2020-03-24 |
1760861439 | Andrew Michael Schneider | Surgery | 100 Omni Dr Ste B, Seneca, SC 29672-9448 | 2015-05-27 |
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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.