Edward M Stevens, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

27607 Issued in MO

Practice address

5325 Faraon St
Saint Joseph, MO 64506-3488

Phone

(816) 271-6575

Fax

(816) 271-6139

NPI assigned

Feb 22, 2006

Last updated

Apr 4, 2008By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Saint Joseph, MO
  • NPI 1710947908
  NPD (past) Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1245205350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8252",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088252",
            "telephone_number": "816-271-6575",
            "fax_number": "816-271-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6575",
            "fax_number": "816-271-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "27607",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0413828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS FOR  KS LOCATION",
            "identifier": "106141",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY MO",
            "identifier": "04682065",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS FOR MO LOCATION",
            "identifier": "470769",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jalin Stelzer, STUDENT
• Tyler D. Sten, DPM
• Brooke Ashley Stetzler
• Steven M. Buckles D.O. P.C. (Agape Family Medicine Clinic)
• Steven M. Orr, M.D., L.L.C.
• Judith Ann Stevens, WHNP
• Stevenson Family Pharmacy, Inc.
• Amanda M Stewart, PLPC
• Haylee Ann Stiens, PHARMD
• Jacquelin Stites

• Diagnostic Radiology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.