JOHN ALBERT STEVENS MD NPI 1972594596

NPI Information

NPI: 1972594596
Provider Name: JOHN ALBERT STEVENS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
777 S MAIN ST
SUITE 100
CLINTON, IN
ZIP 47842
Phone: (765) 828-1003
Get Directions

John Albert Stevens, MD is a family medicine in Clinton, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Albert Stevens, MD NPI is 1972594596. 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:

777 S MAIN ST
SUITE 100
CLINTON, IN
ZIP 47842-493
Phone: (765) 828-1003
Fax: (765) 828-1030

The enumeration date for this NPI number is 11/2/2005 and was last updated on 3/18/2011.

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	207Q00000X	Family Medicine		01043105	INDIANA	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	080141873	OTHER	INDIANA	RR MEDICARE
2	M400037700	MEDICARE PIN	INDIANA
3	200038350	MEDICAID	INDIANA
4	941090V6	MEDICARE PIN	INDIANA
5	M400037640	MEDICARE PIN	INDIANA
6	130910NN	MEDICARE PIN	INDIANA
7	G12546	MEDICARE UPIN
8	252060B1	MEDICARE PIN	INDIANA
9	854700JJJJ	MEDICARE PIN	INDIANA
10	841350	MEDICARE PIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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