Active NPI
Edward Ward Stevenson, MD
- Otolaryngology Physician
- Homewood, AL
National Provider Identifier
1215257258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2106
- Practice address
- 400 University Park Drive
Apt 194
Homewood, AL 35209 - Phone
- (205) 871-6213
- NPI assigned
- Jun 1, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2106 | AL | Primary |
Addresses
Primary practice location
400 University Park Drive
Apt 194
Homewood, AL 35209
Mailing address
400 University Park Drive
Apt 194
Homewood, AL 35209
Phone (205) 871-6213
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2106 | AL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1215257258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 UNIVERSITY PARK DRIVE",
"address_2": "APT 194",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-871-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNIVERSITY PARK DRIVE",
"address_2": "APT 194",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-871-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "EDWARD",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "2106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.