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STEPHEN MICHAEL BUSH M.D.
NPI 1023002573
Surgery in Kennett, MO

Active since September 09, 2005
509 SOUTH BYP, KENNETT, MO 63857(573) 888-0555(573) 888-0556 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Michael Bush M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN MICHAEL BUSH M.D. (NPI 1023002573) is an individual surgery provider in Kennett, Missouri, licensed in Missouri (2000158294) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1023002573
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEPHEN MICHAEL BUSHCredential: M.D.
Location Address509 SOUTH BYPKennett, MO 63857-3248
Mailing AddressPo Box 405454Atlanta, GA 30384-5454 · (573) 888-0555 · Fax (573) 888-0556
Phone(573) 888-0555
Fax(573) 888-0556
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJuly 23, 2014
✔ NPI 1023002573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2000158294
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
509 SOUTH BYP, Kennett, MO 63857
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Other Identifiers 4

Medicare UPING02568MO
Medicare ID-Type Unspecified000094853MO
Medicaid205015506MO
Medicare PIN000015370MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPLETE HEALTHCARE LLC
Clinic/Center (Rural Health)
509 SOUTH BYP
KENNETT, MO 63857
Dunklin County (870) 243-4650
KENNETT HMA LLC
Clinic/Center (Rural Health)
509 SOUTH BYP
KENNETT, MO 63857
Dunklin County (573) 888-0444
KENNETT HMA LLC
Obstetrics & Gynecology
509 SOUTH BYP
KENNETT, MO 63857
Dunklin County (573) 888-4310
COMPLETE HEALTHCARE LLC
Family Medicine
509 SOUTH BYP
KENNETT, MO 63857
Dunklin County (870) 243-4650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Bush's NPI number?

The NPI number for Stephen Bush is 1023002573. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Stephen Bush located?

Stephen Bush practices at 509 South Byp, Kennett, MO 63857. The listed phone number is (573) 888-0555.

What is Stephen Bush's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Stephen Bush was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.