Dr. Ted Justin Stidham
M.D. | Pediatrics | Male
Dr. Ted Justin Stidham, M.D. is a Portsmouth, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ted Justin Stidham is
1611 27th St Ste 101, Portsmouth, Ohio - 45662-6932. He can be contacted on phone at
740-356-7337 and fax number 740-356-6304.
Dr. Ted Justin Stidham is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ted Justin Stidham is
1134428402 which was assigned by NPPES on 25 Mar, 2011 and it was last updated on 16 Dec, 2020.
Dr. Ted Justin Stidham license number is
35.120739 for Pediatrics (208000000X) in Ohio.
Dr. Ted Justin Stidham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ted Justin Stidham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ted Justin Stidham |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Ted Justin Stidham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1611 27th St Ste 101
Portsmouth, OH, 45662-6932
United States |
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| Phone Number : | 740-356-7337 |
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| Fax Number : | 740-356-6304 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134428402 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Mar, 2011 |
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| Last Updated On : | 16 Dec, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ted Justin Stidham are as mentioned. Primary taxonomy code for Dr. Ted Justin Stidham, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35.120739 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ted Justin Stidham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0106413 | MEDICAID | OH | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ted.stidham@somc.medicity.net
| No affiliation |
|
| 1611 27TH ST STE 101,
PORTSMOUTH, OH, 45662-6932
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1735 27th St Ste B06
Portsmouth, OH, 45662-2681
United States |
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| Phone Number : | 740-356-8681 |
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| Fax Number : | 740-353-7900 |
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Business Location:
Patients can refer following map for directions to
Dr. Ted Justin Stidham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.