Provider Demographics
NPI:1952370199
Name:ENGLAND, STEPHEN GEORGE (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:GEORGE
Last Name:ENGLAND
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 1:7720 PARAGON RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459
Mailing Address - Country:US
Mailing Address - Phone:937-435-9825
Mailing Address - Fax:937-435-2482
Practice Address - Street 1:7720 PARAGON RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459
Practice Address - Country:US
Practice Address - Phone:937-435-9825
Practice Address - Fax:937-435-2482
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039574207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000007836OtherANTHEM BCBS
0720042OtherUNITED HEALTH CARE
64200OtherAETNA
0720042OtherUNITED HEALTH CARE
A75774Medicare UPIN