STEPHEN T MEDFORD
NPI 1104437797
Technician - Attendant Care Provider in O Fallon, IL

Q: What is Stephen Medford's NPI number?

The NPI number for Stephen Medford is 1104437797. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Q: What is Stephen Medford's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Medford was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 16, 2020

1017 HARTMAN LN, O FALLON, IL 62269(618) 531-3007 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephen T Medford NPPES

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

STEPHEN T MEDFORD (NPI 1104437797) is an individual attendant care provider provider in O Fallon, Illinois and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104437797

Entity TypeIndividualMale

Primary Taxonomy3747A0650X

Provider Legal NameSTEPHEN T MEDFORD

Location Address1017 HARTMAN LNO Fallon, IL 62269-7207

Mailing Address1017 Hartman LnO Fallon, IL 62269-7207 · (618) 531-3007

Phone(618) 531-3007

Sole ProprietorYes

Enumeration DateAugust 16, 2020

NPPES CertifiedAugust 16, 2020

✔ NPI 1104437797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

1017 HARTMAN LN, O Fallon, IL 62269

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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 Medford's NPI number?

The NPI number for Stephen Medford is 1104437797. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Where is Stephen Medford located?

Stephen Medford practices at 1017 Hartman Ln, O Fallon, IL 62269. The listed phone number is (618) 531-3007.

What is Stephen Medford's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Stephen Medford was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.