FORDYCE EDWARD STIVERS (NPI# 1992771216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992771216 |
| Entity Type | Individual |
| Full Name | FORDYCE EDWARD STIVERS |
| Other Name | F EDWARD STIVERS |
| Credential | MD |
| Practice Address |
175 S Main St Canton IL 61520-2670 |
| Practice Telephone | 3096470201 |
| Practice Fax Number | 3096495302 |
| Mailing Telephone | 3096470201 |
| Mailing Fax Number | 3096495302 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2005013768 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLINIC NPI# | 1780692087 | 01 |
| Street Address |
175 S MAIN ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437518370 | Andrea Lee White | Social Worker | 175 S Main St, Canton, IL 61520-2670 | 2016-02-21 |
| 1427334879 | B. Wright Back Chiropractic, Inc. | Chiropractor | 175 S Main St, Canton, IL 61520-2670 | 2011-10-31 |
| 1235425661 | Brandon Michael Wright | Chiropractor | 175 S Main St, Canton, IL 61520-2670 | 2011-06-23 |
| 1235458639 | Michael Reuss Blessman | Pharmacist | 175 S Main St, Canton, IL 61520-2670 | 2010-05-25 |
| 1689704660 | Sandi Greene Deford | Audiologist | 175 S Main St, Canton, IL 61520-2670 | 2007-03-07 |
| 1881730331 | Erin P. O'brien | Physician Assistant | 175 S Main St, Canton, IL 61520-2670 | 2007-01-30 |
| 1033263116 | Blessman Pharmacy | Pharmacist | 175 S Main St, Suite 1, Canton, IL 61520-2670 | 2007-01-23 |
| 1356450142 | Abby A Putnam | Nurse Practitioner | 175 S Main St, Canton, IL 61520-2670 | 2006-08-29 |
| 1407964612 | Jack L Gibbs | Surgery | 175 S Main St, Canton, IL 61520-2670 | 2006-08-28 |
| 1942315197 | Graham Services Corporation | Internal Medicine | 175 S Main St, Canton, IL 61520-2670 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790814051 | James Courtney French Jr. | Otolaryngology | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115 | 2007-03-05 |
| 1710900626 | Kent Leroy Ramsey | Otolaryngology | 4912 Higbee Ave Nw, Ste 200, Canton, OH 44718 | 2006-07-25 |
| 1578586517 | Charles John Bogdan | Otolaryngology | 4912 Higbee Avenue Nw, Suite 200, Canton, OH 44718 | 2006-07-25 |
| 1780183103 | Southern Ent Specialists, LLC | Otolaryngology | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115-8016 | 2018-02-12 |
| 1215281365 | River Oaks Management Company, LLC | Otolaryngology | 160 River Oaks Dr, Suite A, Canton, MS 39046-5376 | 2012-10-27 |
| 1578898110 | Joseph P. Yut, M.d., F.a.c.s., Inc. | Otolaryngology | 201 Dueber Ave Sw, Canton, OH 44706-1164 | 2009-10-15 |
| 1659468874 | Ohio Head and Neck Surgeons, Inc | Otolaryngology | 4912 Higbee Ave Nw, Suite 200, Canton, OH 44718-2530 | 2006-10-09 |
| 1225050248 | Steven Jay Ossakow | Otolaryngology | 4912 Higbee Avenue Nw, Suite 200, Canton, OH 44718 | 2006-07-25 |
| 1427071331 | Darrell Richard Smith | Otolaryngology | 4912 Higbee Ave Nw, Suite 200, Canton, OH 44718 | 2006-07-25 |
| 1184682296 | Joseph Peter Yut | Otolaryngology | 201 Dueber Ave Sw, Canton, OH 44706-1164 | 2006-05-01 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on FORDYCE EDWARD STIVERS.
| 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.