DR. JONATHAN CRAIG STEVENS MD NPI 1366495178

NPI Information

  • NPI: 1366495178
  • Provider Name: DR. JONATHAN CRAIG STEVENS, MD
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • Address: 105 VERMEER DR UNIT 1
    PONDERAY, ID
    ZIP 83852
  • Phone: (208) 266-1677

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NPI Details

DR. Jonathan Craig Stevens, MD is a neuromusculoskeletal medicine omm in Ponderay, ID. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DR. Jonathan Craig Stevens, MD NPI is 1366495178. 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:

105 VERMEER DR UNIT 1
PONDERAY, ID
ZIP 83852-802
Phone: (208) 266-1677
Fax: (208) 266-0440

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationM7507IDAHONo
2204D00000XNeuromusculoskeletal Medicine & OMMM7507IDAHOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1805192200MEDICAIDIDAHO

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: 11/21/2025

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