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Stephen V Headley, D.O.

Family Medicine Physician in Portage, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679663603

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Registry record

Entity type Individual (Type 1)
Name Stephen V Headley
Credential D.O.
Sex Male
Practice address 3283 Willowcreek Rd, Portage, IN, 46368
Phone (219) 764-8439
Fax (219) 764-8463
Enumeration date Oct 13, 2006
Last updated in NPPES Apr 18, 2023

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036105186 (IL) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02005477A (IN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
036105186 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Stephen Headley practice?
The practice location on file with NPPES is in Portage, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Stephen Headley?
The National Provider Identifier (NPI) for Stephen Headley is 1679663603, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-18.