STEPHEN C MEDLIN DO NPI 1134195159

NPI Information

NPI: 1134195159
Provider Name: STEPHEN C MEDLIN, DO
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Organization: AURORA HEALTH CARE METRO INC

PECOS Registration: Yes

Address:
2801 W KINNICKINNIC RIVER PKWY STE 980
MILWAUKEE, WI
ZIP 53215
Phone: (143) 845-1114
Get Directions

Stephen C Medlin, DO is a hematology internal medicine in Milwaukee, WI with 23 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Stephen C Medlin, DO NPI is 1134195159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 W KINNICKINNIC RIVER PKWY STE 980
MILWAUKEE, WI
ZIP 53215
Phone: (143) 845-1114

The NPI 1134195159 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 12/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0000X	Internal Medicine	Hematology	34.010546	OHIO	No
2	207RH0000X	Internal Medicine	Hematology	6042	SOUTH DAKOTA	No
3	207RH0000X	Internal Medicine	Hematology	44942	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	214D7ME	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
2	047908000	MEDICAID	MINNESOTA
3	1134195159	MEDICAID	IOWA
4	HP79180	OTHER	SOUTH DAKOTA	HEALTHPARTNERS
5	57105AH10	OTHER	SOUTH DAKOTA	WPS TRICARE
6	6042	OTHER	SOUTH DAKOTA	DAKOTACARE
7	92411422911	OTHER	MINNESOTA	PRIMEWEST
8	253094	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
9	3600766	OTHER	SOUTH DAKOTA	MEDICA
10	46022474342	MEDICAID	NEBRASKA
11	1134195159	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
12	214D7ME	OTHER	MINNESOTA	BLUE CROSS
13	4993050	OTHER	SOUTH DAKOTA	BLUE CROSS
14	6631870	MEDICAID	SOUTH DAKOTA
15	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR
16	678061051266	OTHER	SOUTH DAKOTA	PREFERRED ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »