Organization Active NPI

DRS Edwards & Stephens LTD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1194817882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D41399 Issued in MD
Legal business name
DRS EDWARDS & STEPHENS LTD
Practice address
1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415
Phone
(410) 284-5210
Fax
(410) 282-5062
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Theodore A Stephens, MDNPI 1396842076
Title
Partner
Phone
(410) 284-5210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D41399 MD Primary

Addresses

Primary practice location

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415

Mailing address

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415
Phone (410) 284-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000659 MD Part B Supplier - Clinic/Group Practice 2961501499 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1539 Merritt Blvd
Dundalk, MD 21222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194817882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "address_2": "SUITE 724",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-284-5210",
            "fax_number": "410-282-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "address_2": "SUITE 724",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-284-5210",
            "fax_number": "410-282-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS EDWARDS & STEPHENS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-284-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D41399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.