Active NPI
Benjamin Michael Stephens, CRNA
- Certified Registered Nurse Anesthetist
- Thomasville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-084033
- Practice address
- 220 Old Highway 5 N
Thomasville, AL 36784-1812 - Phone
- (334) 636-1333
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-084033 | AL | Primary |
Addresses
Primary practice location
220 Old Highway 5 N
Thomasville, AL 36784-1812
Mailing address
220 Old Highway 5 N
Thomasville, AL 36784-1812
Phone (334) 636-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000
123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-084033 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vaughan Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Vaughan Regional Medical Center LLC | Past | Accepting new patients |
Locations
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
dba Vaughan Regional Medical Center-Parkway Campus
- Anesthesiology Physician
- Selma, AL
- NPI 1114088846
Nurse Anesthetist, Certified Registered
-
dba Marion Clinic
- Rural Health Clinic/Center
- Marion, AL
- NPI 1770600066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1124227061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 OLD HIGHWAY 5 N",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367841812",
"telephone_number": "334-636-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 OLD HIGHWAY 5 N",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367841812",
"telephone_number": "334-636-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "BENJAMIN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-084033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, AL
- Jerry Lee Schreiner, D.C.
- Selma Family Practice Optometry, Inc. (Eyemax Vision Center)
- Dewayne Edgar Smith, RPH
- Southwest Alabama Emergency Physicians, LLC
- Donna Stebbins, AGACNP-BC
- Avery Story, PHARMD
- Jeffrey Ralph Stoudenmire, D.M.D.
- Stephanie Culpepper Stubbs, HAIR LOSS SPECIALIST
- SW Alabama Emergency Physicians
- Swamc ER Management, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.