Individual
JEFFREY M. STIDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 305, LOUISVILLE, KY 40202-1882
(502) 585-4321
(502) 566-6338
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 585-4321
(502) 566-6338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01063360A
IN
207RC0000X
Cardiovascular Disease Physician
39017
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
01063360A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
39017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200856500
—
IN
05
—
7100069260
—
KY
Enumeration date
03/14/2007
Last updated
03/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us