DR. STACY STEVENS MD NPI 1407823461

NPI Information

NPI: 1407823461
Provider Name: DR. STACY STEVENS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
12300 METCALF AVE
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 317-7678
Get Directions

DR. Stacy Stevens, MD is a diagnostic radiology radiology in Overland Park, KS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Stacy Stevens, MD NPI is 1407823461. 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:

12300 METCALF AVE
OVERLAND PARK, KS
ZIP 66213-324
Phone: (913) 317-7678

The NPI 1407823461 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 3/8/2006 and was last updated on 4/10/2019.

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
1	2085R0202X	Radiology	Diagnostic Radiology	2005003652	MISSOURI	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	04-31155	KANSAS	No

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
1	P000218068	OTHER	MISSOURI	RAILROAD MEDICARE
2	P00238173	OTHER	KANSAS	RAILROAD MEDICARE
3	200327540C	MEDICAID	KANSAS
4	35279019	OTHER		BCBS
5	P00238174	OTHER	MISSOURI	RAILROAD MEDICARE
6	200327540B	MEDICAID	KANSAS
7	207207606	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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