Radomir D Stevanovic MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

RADOMIR D STEVANOVIC MD PC

Practice address

2343 N Triphammer Rd
Ithaca, NY 14850-1092

Phone

(607) 266-9100

NPI assigned

Jul 27, 2010

Last updated

Jul 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Radomir D Stevanovic, M.D.NPI 1508883208

Title

Owner

Phone

(607) 266-9100

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10041/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Radomir D Stevanovic, MD

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1508883208
  NPD Authorized official

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1043524549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501092",
            "telephone_number": "607-266-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501092",
            "telephone_number": "607-266-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADOMIR D STEVANOVIC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "STEVANOVIC",
        "authorized_official_first_name": "RADOMIR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-266-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Rachlin, PT
• Nadia Raczek
• Melissa Radhay, LMFT
• Edward James Radin, MD
• Radiology Associates of Ithaca PC
• Linda Radomski, MD
• Anthony Alvaro Raggi, DMD
• MD Shafwanur Rahman, MD
• Tasneem Rahman
• Nazar Rahmanov, MD

• Medical Specialty Clinic/Center in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.