Provider Demographics
NPI:1255329777
Name:HOUSER, STEPHEN ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ANDREW
Last Name:HOUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2102 N ELM ST STE H1
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-5100
Mailing Address - Country:US
Mailing Address - Phone:336-808-5135
Mailing Address - Fax:336-808-5388
Practice Address - Street 1:600 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-6000
Practice Address - Country:US
Practice Address - Phone:704-283-3137
Practice Address - Fax:704-283-3139
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2003-00247207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN0024AMedicaid
NC5900045Medicaid
SCN0024AMedicaid
NC2021687AMedicare PIN