MARK T STEVENS M.D. NPI 1760499669

NPI Information

  • NPI: 1760499669
  • Provider Name: MARK T STEVENS, M.D.
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10706 WYNKOOP DR
    GREAT FALLS, VA
    ZIP 22066
  • Phone: (703) 282-9468

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NPI Details

Mark T Stevens, M.D. is an addiction medicine family medicine in Great Falls, VA with 35 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Mark T Stevens, M.D. NPI is 1760499669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

10706 WYNKOOP DR
GREAT FALLS, VA
ZIP 22066-606
Phone: (703) 282-9468

The NPI 1760499669 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 8/2/2006 and was last updated on 12/17/2021.

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
1207QA0401XFamily MedicineAddiction Medicine0101257868VIRGINIAYes

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
123419OTHERNEBRASKASTATE LICENSE

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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