Active NPI
Stevan Webster, M.D.
- Cardiovascular Disease Physician
- Madison, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 10101
- Practice address
- 216 Kingsbridge Rd
Madison, MS 39110-8485 - Phone
- (601) 862-7660
- NPI assigned
- Jan 10, 2006
- Last updated
- Apr 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 10101 | MS | Primary |
Addresses
Primary practice location
216 Kingsbridge Rd
Madison, MS 39110-8485
Mailing address
216 Kingsbridge Rd
Madison, MS 39110-8485
Phone (601) 862-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200307120 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossgates Hma Medical Group, LLC | Current | Accepting new patients | |
| River Oaks Management Company, LLC | Current | Accepting new patients | |
| Crossgates Hma Medical Group LLC | Cardiovascular Disease | Current | Accepting new patients |
| Crossgates Hma Medical Group, LLC | Current | Accepting new patients | |
| Reservoir Family Medical Clinic, PA | Current | Accepting new patients | |
| River Oaks Management Company LLC | Current | Accepting new patients | |
| Careplus Lakeview Family Medicine | Current | Accepting new patients | |
| Evansville Heart Center, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
201 N College St
Ste 102
Brandon, MS 39042
Phone (601) 825-3074
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
Interoperability endpoints
- https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1922029040
-
- Family Medicine Physician
- Clinton, MS
- NPI 1942621024
-
- Internal Medicine Physician
- Brandon, MS
- NPI 1639401524
Cardiovascular Disease
-
dba Rankin Hospitalists
- Hospitalist Physician
- Jackson, MS
- NPI 1366726408
-
dba Care Plus Family Medical Clinic
- Family Medicine Physician
- Flowood, MS
- NPI 1740470624
-
- Family Medicine Physician
- Flowood, MS
- NPI 1770929713
-
dba Care Plus Behavioral Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Ridgeland, MS
- NPI 1437327830
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1134190804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1184603011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 KINGSBRIDGE RD",
"city": "MADISON",
"state": "MS",
"postal_code": "391108485",
"telephone_number": "601-862-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 KINGSBRIDGE RD",
"city": "MADISON",
"state": "MS",
"postal_code": "391108485",
"telephone_number": "601-862-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "STEVAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "10101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200307120",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.