Cassandra Stephens, MD, PSC

Key facts

NPI: 1033320205
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
License: 31329 (KY)
Legal business name: CASSANDRA STEPHENS, MD, PSC
Practice address: 70 Ubermonkey Lane
Campbellsville, KY 42718-2571
Phone: (270) 465-0060
Fax: (270) 465-0134
NPI assigned: May 26, 2007
Organization subpart: No

Authorized official

Name: Dr. Cassandra Stephens, M.D.
Title: President
Phone: (270) 465-0060

National Provider Directory

Locations

70 Ubermonkey Ln
Campbellsvlle, KY 42718
Phone (270) 465-0060

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X	31329	KY	Yes

Addresses

Primary practice location

70 Ubermonkey Lane
Campbellsville, KY 42718-2571

Mailing address

70 Ubermonkey Lane
Campbellsville, KY 42718-2571
Phone (270) 465-0060

Other names

Stephens' Family Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2010.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1033320205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 UBERMONKEY LANE",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182571",
            "telephone_number": "270-465-0060",
            "fax_number": "270-465-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 UBERMONKEY LANE",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182571",
            "telephone_number": "270-465-0060",
            "fax_number": "270-465-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA STEPHENS, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-465-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "31329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens' Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Family Medicine Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.