Provider Demographics
NPI:1861463549
Name:NASON, STEPHEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:S
Last Name:NASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 VIDRINE RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-8706
Mailing Address - Country:US
Mailing Address - Phone:337-506-3540
Mailing Address - Fax:337-506-3560
Practice Address - Street 1:4940 VIDRINE RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-8706
Practice Address - Country:US
Practice Address - Phone:337-506-3550
Practice Address - Fax:337-506-3551
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA10502207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1389641Medicaid
LA5J724Medicare ID - Type Unspecified
LAE01746Medicare UPIN