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ROBERTA SUE STEPHENSON M.D. NPI 1881755726


NPI Information

NPI: 1881755726
Provider Name: ROBERTA SUE STEPHENSON, M.D.
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
1901 S CEDAR ST STE 103
TACOMA, WA
ZIP 98405
Phone: (253) 272-1812
Get Directions

Roberta Sue Stephenson, M.D. is a pediatric cardiology pediatrics in Tacoma, WA with 34 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Roberta Sue Stephenson, M.D. NPI is 1881755726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1990

The provider's business location address is:

1901 S CEDAR ST STE 103
TACOMA, WA
ZIP 98405-302
Phone: (253) 272-1812
Fax: (253) 682-1455

The NPI 1881755726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyMD00034144WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15206592OTHERWASHINGTONAETNA
28196362MEDICAIDWASHINGTON
3ST8122OTHERWASHINGTONREGENCE BLUE CROSS SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.