Active NPI
Robert L Stevens, D O
- Internal Medicine Physician
- Lorain, OH
National Provider Identifier
1215049481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-00-3042-S
- Practice address
- 3600 Kolbe Rd
Suite 227
Lorain, OH 44053-1654 - Phone
- (440) 960-3304
- Fax
- (440) 960-4733
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34-00-3042-S | OH | Primary |
Addresses
Primary practice location
3600 Kolbe Rd
Suite 227
Lorain, OH 44053-1654
Mailing address
PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 989-3801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450042 | Medicaid | OH | |
| 0236248 | Medicaid | OH | |
| 3025372 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland OB-GYN LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Ashland, OH
- NPI 1831360940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1215049481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636643",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636643",
"telephone_number": "440-989-3801",
"fax_number": "440-960-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 KOLBE RD",
"address_2": "SUITE 227",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531654",
"telephone_number": "440-960-3304",
"fax_number": "440-960-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "D O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34-00-3042-S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0450042",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236248",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3025372",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.