Sean Stevenson, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA0002 Issued in MD

Practice address

6305 Brechin Dr
Brandywine, MD 20613-6261

Phone

(240) 383-0436

Fax

(760) 731-0414

NPI assigned

Feb 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Strother Nursing & Surgical Services LLC

  • Surgical Assistant
  • Brandywine, MD
  • NPI 1215126370
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1053550376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 HOTOMTOT DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747151",
            "telephone_number": "760-731-0313",
            "fax_number": "760-731-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 BRECHIN DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136261",
            "telephone_number": "240-383-0436",
            "fax_number": "760-731-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "SEAN",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "MD",
            "license": "SA0002",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quenita Simms
• Denver Smith
• Marcus Smith, LCPC
• Soap to Soil LLC
• Southern Maryland Vocational Industries, Inc.
• Strother Nursing & Surgical Services LLC
• Eric Thurman Strother, L.C.S.A.
• Deepa Subramanian, DDS
• Reid Kathleen Sullivan, PA-C
• Summit Ambulatory Surgical Center, LLC

• Surgical Assistant in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Surgical Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.