Marc S. Stevens, MD, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2007-00574 Issued in NC

Legal business name

MARC S. STEVENS, MD, PA

Practice address

540 North St
Smithfield, NC 27577-4016

Phone

(919) 934-1094

Fax

(919) 934-9044

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Marc S. Stevens, MD

Title

President

Phone

(919) 934-1094

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1013102607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774016",
            "telephone_number": "919-934-1094",
            "fax_number": "919-934-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774016",
            "telephone_number": "919-934-1094",
            "fax_number": "919-934-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC S. STEVENS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-934-1094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2007-00574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907968",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "232122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajiv T Majithia, MD FACG AGAF
• Jessikah Grossman Manganello
• Nikki Mangum
• Manmohan Singh MD PA
• Jenah Wesley Manzano, PA-C
• Danielle Marino, CCC-SLP
• Julie Smith Markovich, RPH
• Jaime Marrone
• Ashleigh Pappadake Martin, CPNP-PC
• Berkeley Martin

• Orthopaedic Surgery Physician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.