Individual
STEPHEN CRAWFORD IKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(617) 847-1950
(617) 774-1490
Mailing address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
73133
MA
2084P0802X
Addiction Psychiatry Physician
73133
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
73133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J11337
BLUE CROSS
MA
Enumeration date
07/08/2006
Last updated
12/20/2011
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