Look up the most recent NPI and PECOS records

Stephen Houghland

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen Houghland does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023094224
Provider Type
Individual
Full Name
Houghland, Stephen
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
12/20/2005
Last Updated
5/2/2008

Contact Information

Practice Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 562-6510

(502) 562-6515

Mailing Location

501 E Broadway, #220, Louisville, KY 40202-1785

(502) 589-4856

(502) 589-5093

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 34905 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 64038193	Description Medicaid	Issuer Unlisted Kentucky

Stephen Houghland

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Aladili, Hasan

Baker, Mallory Camille

Goldberg, Sarah Sloan

Patel, Sahil

Mcmullin, Malik

Hamilton, Anna Gabrielle

University Of Louisville Physicians, Inc.

Quisenberry, Thomas Eric

Hasan, Rafi A

Falwell, Harrison Matthew