Jeffrey S. Stephens, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J2983 Issued in TX

Legal business name

JEFFREY S. STEPHENS, M.D., P.A.

Practice address

1005 W Ralph Hall Pkwy
Suite 221
Rockwall, TX 75032

Phone

(972) 772-4333

Fax

(972) 772-4601

NPI assigned

Dec 12, 2011

Last updated

Mar 30, 2012By 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

Terri R Phillips

Title

Practice Manager

Phone

(972) 772-4333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1093083560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY",
            "address_2": "SUITE 221",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326658",
            "telephone_number": "972-772-4333",
            "fax_number": "972-772-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY",
            "address_2": "SUITE 221",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "972-772-4333",
            "fax_number": "972-772-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. STEPHENS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-772-4333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160321901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilia Jasper
• Kyla Jasper
• Ciara L Jasso
• Jaxen Medical, LLC
• Jay Humphrey DC PA (Rockwall Spine and Sports Medicine)
• Phylicia Jenkins-Reese, LVN
• Ricky Jenkins
• Varlina Iman Jenkins, FNP-C
• Jenna Webster DC LLC
• Jennifer Willis

• Specialist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.