Jeffrey M. Stidam
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
225 Abraham Flexner Way Suite 305
Louisville
, Kentucky 40202-1882
Jeffrey M. Stidam
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
225 Abraham Flexner Way Suite 305
Louisville
, Kentucky 40202-1882
(502) 566-6338
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Jeffrey M. Stidam
- 100 E Liberty St Ste 800
- Louisville, KY
- Zip : 40202-1428
- Fax : (502) 566-6338
- Phone : (502) 585-4321
Second Address
- Jeffrey M. Stidam
- 225 Abraham Flexner Way Suite 305
- Louisville, KY
- Zip : 40202-1882
- Fax : (502) 566-6338
- Phone : (502) 585-4321
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Is Jeffrey M. Stidam a sole practitioner?
Is Jeffrey M. Stidam accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 01063360A | IN |
| N | 207RC0000X | Internist - Cardiovascular Disease | 39017 | KY |
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | 01063360A | IN |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 39017 | KY |
National Provider Identifier
| NPI | 1063545275 |
|---|---|
| Provider Name | Jeffrey M. Stidam |
| First Address | Louisville, KY 40202-1428 |
| Second Address | Louisville, KY 40202-1882 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 21/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200856500 | (05) | IN |
| 7100069260 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.