Provider Demographics
NPI:1659372464
Name:LADWIG, STEPHEN H (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:H
Last Name:LADWIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ROUNDABOUT CT
Mailing Address - Street 2:PO BOX 7946
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3573
Mailing Address - Country:US
Mailing Address - Phone:252-443-4024
Mailing Address - Fax:252-443-0521
Practice Address - Street 1:131 ROUNDABOUT CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3573
Practice Address - Country:US
Practice Address - Phone:252-443-4024
Practice Address - Fax:252-443-0521
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC230482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-50535Medicaid
NCAL8655485OtherDEA
NCE86154Medicare UPIN
NC2142764Medicare PIN