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ISHMAEL WORTH STEVENS MD NPI 1033205448


NPI Information

NPI: 1033205448
Provider Name: ISHMAEL WORTH STEVENS, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
700 13TH ST
ASHLAND, KY
ZIP 41101
Phone: (606) 329-0204
Get Directions

Ishmael Worth Stevens, MD is a pediatrics in Ashland, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Ishmael Worth Stevens, MD NPI is 1033205448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 13TH ST
ASHLAND, KY
ZIP 41101
Phone: (606) 329-0204
Fax: (606) 324-7770

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/9/2007.


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
1208000000XPediatrics35295KENTUCKYYes

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
164012503MEDICAIDKENTUCKY
2336109752062214OTHERKENTUCKYBC SUPER BLUE PLUS
3000000111530OTHERKENTUCKYANTHEM BC
41200987OTHERKENTUCKYUNITED HEALTH CARE
565917544MEDICAIDKENTUCKY
66700603-000MEDICAIDWEST VIRGINIA

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

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