Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen V Headley, DO

Individual provider Family Medicine Physician · NPI 1679663603

Stephen V Headley, DO is a Family Medicine Physician in Portage, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2006.

Licensed in
IL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3283 Willowcreek Rd
Portage, IN 46368-5054
Phone: (219) 764-8439
Fax: (219) 764-8463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02005477A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036105186 (IL)

Record details

NPI number1679663603
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing addressPo Box 781076, Detroit, MI 48278-1076

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