STEPHEN HOLTSFORD M.D. NPI 1801979463

NPI Information

NPI: 1801979463
Provider Name: STEPHEN HOLTSFORD, M.D.
Classification: Preventive Medicine - 2083A0300X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
210 S 5TH ST STE 10
SAINT CHARLES, IL
ZIP 60174
Phone: (630) 940-2468
Get Directions

Stephen Holtsford, M.D. is an addiction medicine preventive medicine in Saint Charles, IL. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. Stephen Holtsford, M.D. NPI is 1801979463. 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:

210 S 5TH ST STE 10
SAINT CHARLES, IL
ZIP 60174-700
Phone: (630) 940-2468

The NPI 1801979463 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 10/24/2006 and was last updated on 2/23/2024.

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	2083A0300X	Preventive Medicine	Addiction Medicine	036091535	ILLINOIS	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	451530938	OTHER	ILLINOIS	BLUE SHIELD
2	930061957	OTHER	ILLINOIS	RAILROAD MEDICARE
3	036091535 5	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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