Individual provider Active NPI

William T. Stephenson II, M.D.

  • Medical Oncology Physician
  • Provo, UT
National Provider Identifier
1093787541
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
274407-1205 Issued in UT
Practice address
395 W Bulldog Blvd Ste 103
Provo, UT 84604-3334
Phone
(801) 357-8200
Fax
(801) 357-8201
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 274407-1205 UT
Hematology & Oncology Physician 207RH0003X 108812 MO
Hematology & Oncology Physician 207RH0003X 04-25846 KS
Medical Oncology Physician 207RX0202X 274407-1205 UT Primary

Addresses

Primary practice location

395 W Bulldog Blvd Ste 103
Provo, UT 84604-3334

Mailing address

1121 E 3900 S Ste C230
Salt Lake City, UT 84124-1297
Phone (801) 262-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181204002491 ID Practitioner - Hematology/Oncology 6406911148 Reassigns benefits to 1 organization
I20200204002454 UT Practitioner - Medical Oncology 6406911148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Kansas School of Med (KC/Wich/Sal), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

395 W Bulldog Blvd
Suite 103
Provo, UT 84604
Phone (801) 357-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-25846KSMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Cancer Specialists PC Hematology CurrentSince Feb 1, 2020 Accepting new patients
Kansas City Cancer Center, LLC Hematology Past Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology PastSince Nov 30, 2025 Accepting new patients

Locations

3245 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2700

520 Medical Dr
Ste 100
Bountiful, UT 84010
Phone (801) 296-6665

1492 W Antelope Dr
Ste 125
Layton, UT 84041
Phone (801) 525-3022

5131 S Cottonwood St
Ste L2
Murray, UT 84107
Phone (801) 263-3416

425 E 5350 S
Ste 101
Ogden, UT 84405
Phone (385) 423-2855

1076 N Northcounty Blvd
Ste D
Pleasant Grove, UT 84062
Phone (801) 492-9934

395 W Cougar Blvd
Ste 104
Provo, UT 84604
Phone (801) 357-2480

395 W Bulldog Blvd
Ste 103
Provo, UT 84604
Phone (801) 357-8200

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

389 S 900 E
Ste 100
Salt Lake City, UT 84102
Phone (385) 347-5500

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

3592 W 9000 S
Ste 200
West Jordan, UT 84088
Phone (801) 562-8732

2965 W 3500 S
Ste L4
West Valley City, UT 84119

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: william.stephenson@hca2.eclinicaldirectplus.com
  • Direct secure messaging: wstephenson@utahcancer.direct.varian.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1093787541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S STE C230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241297",
            "telephone_number": "801-262-9494",
            "fax_number": "866-415-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W BULLDOG BLVD STE 103",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043334",
            "telephone_number": "801-357-8200",
            "fax_number": "801-357-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "UT",
            "license": "274407-1205",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "108812",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "04-25846",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "UT",
            "license": "274407-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.