Individual
STEPHAN J VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD FL ANNEX1, NEWPORT NEWS, VA 23601-1929
(757) 594-2074
(757) 594-3369
Mailing address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-2297
(260) 434-6116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01081770A
IN
207RC0000X
Cardiovascular Disease Physician
35059262V
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101242715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619975877
—
VA
01
—
P00445778
MEDICARE RAILROAD
VA
Enumeration date
07/12/2005
Last updated
02/07/2022
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