DR. STEPHEN P FUQUA (NPI# 1932721305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932721305 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN P FUQUA |
| Credential | DO |
| Practice Address |
30 E Apple St # 5254 Dayton OH 45409-2939 |
| Mailing Address |
301 Forrer Blvd Oakwood OH 45419-3238 |
| Practice Telephone | 8442772894 |
| Mailing Telephone | 8126045781 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
58.031813 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
30 E APPLE ST # 5254 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790032118 | Cassandra J Milling | Psychiatry & Neurology | 128 E Apple St Fl 2, Wsu Neurology Weber Bldg Suite 2834, Dayton, OH 45409-2902 | 2012-08-06 |
| 1073566147 | Robert P Hardman Md Inc | Psychiatry & Neurology | 300 Forest Ave, Dayton, OH 45405-4536 | 2006-05-18 |
| 1649266016 | Babar Hasan | Psychiatry & Neurology | 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 | 2005-09-21 |
| 1114922390 | Joel Vandersluis | Psychiatry & Neurology | 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459-4296 | 2005-06-15 |
| 1568085959 | Louis Curtis | Psychiatry & Neurology | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-05-20 |
| 1972126274 | Graham Kiyoshi Reid | Psychiatry & Neurology | 30 E Apple St Ste 6257, Dayton, OH 45409-2939 | 2020-05-20 |
| 1386050821 | Drew William Dula | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459 | 2014-07-04 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1174961874 | Kenneth Douglas Pugar | Psychiatry & Neurology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2013-06-05 |
| 1861838922 | Mark Andrew Macnealy | Psychiatry & Neurology | 2611 Wayne Ave, Blg 61, Dayton, OH 45420-1833 | 2013-05-16 |
| Find all providers in DAYTON | ||||
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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.