Organization Active NPI

David M.Stevenson

  • Primary Care Clinic/Center
  • Hamden, CT
National Provider Identifier
1003032038
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
002031 Issued in CT
Legal business name
DAVID M.STEVENSON
Practice address
215 Sherman Ave
Hamden, CT 06518-2125
Phone
(203) 288-6800
Fax
(203) 287-1953
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David M. Stevenson, APRN
Title
Sole Propriator
Phone
(203) 288-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 002031 CT Primary

Addresses

Primary practice location

215 Sherman Ave
Hamden, CT 06518-2125

Mailing address

215 Sherman Ave
Hamden, CT 06518-2125
Phone (203) 288-6800

Other identifiers 1

IdentifierTypeStateIssuer
004192267MedicaidCT

Other names 1

  • David M. Stevenson APRN Doing business as

National Provider Directory

National Provider Directory

Locations

215 Sherman Ave
Hamden, CT 06518
Phone (203) 230-3095

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1003032038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHERMAN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182125",
            "telephone_number": "203-288-6800",
            "fax_number": "203-287-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SHERMAN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182125",
            "telephone_number": "203-288-6800",
            "fax_number": "203-287-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M.STEVENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE PROPRIATOR",
        "authorized_official_telephone_number": "203-288-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "002031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004192267",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David M. Stevenson APRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.