Individual
STEPHEN CONLON EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01065201
IN
390200000X
Student in an Organized Health Care Education/Training Program
125049846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000570234
ANTHEM
IN
05
—
200901660
—
IN
01
—
P00638189
RAILROAD MEDICARE
IN
Enumeration date
04/03/2008
Last updated
12/16/2011
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