Sheridan S. H .Stevens M.D., Facs, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

107199 Issued in MO

Legal business name

SHERIDAN S. H .STEVENS M.D., FACS, PC

Practice address

3600 NE Ralph Powell Rd
Lees Summit, MO 64064-2369

Phone

(816) 554-6500

Fax

(816) 554-6503

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By 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

Sheridan S. H. Stevens, M.D.

Title

President

Phone

(816) 554-6500

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1083887848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369",
            "telephone_number": "816-554-6500",
            "fax_number": "816-554-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN S. H .STEVENS M.D., FACS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SHERIDAN",
        "authorized_official_middle_name": "S. H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-554-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "107199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "7013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7303198",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "13-00057",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5818033",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21480019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE USA",
            "identifier": "33802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila R Jungmeyer DDS,PC
• D'Monika Shelby
• Kayla Victoria-Lynn Shelby
• Kerianna Shepherd, RBT
• Gwen Sherbino
• Rich Lyn Sherman, PH.D., LPC
• Syrece Kamille Sherman, DC
• Marie Christine Shilbaya, OTR/L
• Morgan G Shippy, RN, IBCLC
• Kim Shirk, LPC, NCC

• Plastic Surgery Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.