Stephen a. Habener, M.D., Inc., P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00011593 Issued in WA

Legal business name

STEPHEN A. HABENER, M.D., INC., P.S.

Practice address

2635 Wheaton Way
Bremerton, WA 98310-3318

Phone

(360) 373-2571

Fax

(360) 479-4970

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By 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

Miss Tia L Smart

Title

Office Manager

Phone

(360) 373-2571

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1215209903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-373-2571",
            "fax_number": "360-479-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-373-2571",
            "fax_number": "360-479-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. HABENER, M.D., INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-373-2571",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00011593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1340306",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A06927",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby Steich
• Melissa Catherine Steinbacher, RDN, CD, CNSC
• Katherine Steiner
• Sarah Steinke
• Beth Stenwick
• Alicia Denise Stephens, DDS
• Etsuko Stephens, MA
• Lisa Dahlquist Stephens, FNP
• Paola Stepney
• Brittany Sterling, ARNP

• Specialist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.