Individual
DR. STEPHEN MINNIS
Active
Individual
DR. STEPHEN MINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35054785M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019439
ANTHEM PIN
OH
01
—
000000177369
UNISON PIN
OH
05
—
0701244
—
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
1204559
UHC PIN
OH
01
—
311413469027
CARESOURCE PIN
OH
Enumeration date
12/21/2005
Last updated
04/01/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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