IndividualActive
Jeffrey Stidam, MD
NPI 1063545275 · Clinical Cardiac Electrophysiology Physician · Louisville, KY
Provider details
- NPI number
- 1063545275
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01063360A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
225 Abraham Flexner Way
Suite 305
Louisville, KY 40202-1882
Phone: (502) 585-4321
Fax: (502) 566-6338
Approximate (ZIP-level) locationGet directions
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2018-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.