GERALD B STEPHANZ MD NPI 1932138195

NPI Information

NPI: 1932138195
Provider Name: GERALD B STEPHANZ, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1055 N 500 W
PROVO, UT
ZIP 84604
Phone: (801) 377-4623
Get Directions

Gerald B Stephanz, MD is a nephrology internal medicine in Provo, UT. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Gerald B Stephanz, MD NPI is 1932138195. 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:

1055 N 500 W
PROVO, UT
ZIP 84604-305
Phone: (801) 377-4623
Fax: (801) 377-6832

The NPI 1932138195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 11/1/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	2743691205	UTAH	Yes

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	62051	OTHER	UTAH	PEHP
2	124890	OTHER	UTAH	DMBA
3	QM0000044589	OTHER	UTAH	ALTIUS
4	870281028000	MEDICAID	UTAH
5	870281028ST2	OTHER	UTAH	EMIA
6	31-0041	OTHER	UTAH	UNITED HEALTHCARE
7	E57908	MEDICARE UPIN	UTAH
8	107006986101	OTHER	UTAH	IHC

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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