Donald Thomas Stevenson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06791 Issued in TX

Practice address

4680 Lockhill Selma Rd Ste 200
San Antonio, TX 78249-2094

Phone

(210) 546-1880

Fax

(210) 447-6426

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1215128244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982208",
            "telephone_number": "210-546-1400",
            "fax_number": "210-546-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 LOCKHILL SELMA RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492094",
            "telephone_number": "210-546-1880",
            "fax_number": "210-447-6426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10423 State Highway 151 Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514768",
            "country_code": "US",
            "telephone_number": "210-546-1480",
            "fax_number": "210-546-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06791",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "VAD000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2855207-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Stevens, RN
• Samuel Houston Stevens, MD
• Shanda Stevens, LPC, NCC, BCN
• Stephanie Lois Stevens, M ED
• Tyler Stevens, DDS
• Jacqueline Renee Stevenson, OTR
• James Walter Steves, M.D.
• Roy Richard Steves
• Jacqueline Jewell Stewarat, LVN
• Aseel T Steward, LPC

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.

Verify at the official NPI Registry.