Active NPI
William T. Stephenson II, M.D.
- Medical Oncology Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 274407-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-25846 | KS | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Cancer Specialists PC | Hematology | Current | Accepting new patients |
| Kansas City Cancer Center, LLC | Hematology | Past | Accepting new patients |
| Utah Cancer Specialists PC | Hematology & Oncology | Past | 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
- william.stephenson@hca2.eclinicaldirectplus.com
- 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.
-
- Medical Oncology Physician
- Salt Lake City, UT
- NPI 1619925369
Hematology, ID
-
- Non-Pharmacy Dispensing Site
- Salt Lake City, UT
- NPI 1912058942
Hematology & Oncology
-
- Medical Oncology Physician
- Overland Park, KS
- NPI 1003864471
Hematology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Price, UT
- NPI 1417064205
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.