| NPI | 1043218837 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-14 |
| Last Updated | 2007-07-08 |
| Mailing Address | 130 S Lincoln Blvd Centralia, IL 62801-3654 United States Phone: (618) 532-3604 | Fax: (618) 532-2952 📍 View Map |
| Primary Practice Address | 130 S Lincoln Blvd Centralia, IL 62801-3654 United States Phone: (618) 532-3604 | Fax: (618) 532-2952 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IL | 036090415 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | IL | 036090415 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1043218837
Matthew Tolman Stedelin M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043218837. The primary specialty listed is Pediatrics. The provider is located in Centralia, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043218837?
NPI 1043218837 belongs to Matthew Tolman Stedelin M.D., a Pediatrics in Centralia, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043218837 active?
The current status of NPI 1043218837 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1043218837?
NPI 1043218837 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043218837?
You can verify NPI 1043218837 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043218837?
The primary practice address on file for NPI 1043218837 is 130 S Lincoln Blvd, Centralia, IL 62801-3654. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043218837 issued?
NPI 1043218837 was first issued (enumerated) on 2005-07-14. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Matthew Tolman Stedelin is located at 130 S Lincoln Blvd, Centralia, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Matthew Tolman Stedelin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043218837. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 036090415 | IL |