Organization Active NPI

Carl E. Stevens, M.D., PLLC

  • Anesthesiology Physician
  • Fort Smith, AR
National Provider Identifier
1124488671
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CARL E. STEVENS, M.D., PLLC
Practice address
8309 Phoenix Ave
Fort Smith, AR 72903-6141
Phone
(479) 717-1171
Fax
(479) 725-2395
NPI assigned
Feb 25, 2016
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Carl E. Stevens, M.D.
Title
Owner
Phone
(479) 236-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8309 Phoenix Ave
Fort Smith, AR 72903-6141

Mailing address

PO Box 10411
Fayetteville, AR 72703-0042
Phone (479) 717-1171

National Provider Directory

National Provider Directory

Locations

201 Highway 201 N
Mountain Home, AR 72653
Phone (479) 439-8157

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1124488671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10411",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030042",
            "telephone_number": "479-717-1171",
            "fax_number": "479-725-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 PHOENIX AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036141",
            "telephone_number": "479-717-1171",
            "fax_number": "479-725-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL E. STEVENS, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-236-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.