Tommy S. Stevens M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TS039213 Issued in MI

Legal business name

TOMMY S. STEVENS M.D., P.C.

Practice address

2298 S Center Rd
Burton, MI 48519-1166

Phone

(810) 742-2544

Fax

(810) 742-2566

NPI assigned

Dec 7, 2009

Last updated

Dec 29, 2009By 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

Lorraine Edelen-Stevens

Title

Office Manager

Phone

(810) 742-2544

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1164750949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191166",
            "telephone_number": "810-742-2544",
            "fax_number": "810-742-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191166",
            "telephone_number": "810-742-2544",
            "fax_number": "810-742-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY S. STEVENS M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "EDELEN-STEVENS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-742-2544"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TS039213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4328356",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Burton, MI
• Providers in Burton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.