Stevens Medical Clinic P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STEVENS MEDICAL CLINIC P.C.

Practice address

1820 N St
Ord, NE 68862-1623

Phone

(308) 728-3154

Fax

(308) 728-3274

NPI assigned

Sep 6, 2007

Last updated

Jul 21, 2022By 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

Dr. Dan Stevens

Title

MD

Phone

(308) 728-3154

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Merrick Stevens, M.D.

  • Family Medicine Physician
  • Ord, NE
  • NPI 1033147285
  Medicare reassignment Care Compare group NPD
• Julie Marie Stevens, M.D.

  • Family Medicine Physician
  • Ord, NE
  • NPI 1578591822
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285829929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621623",
            "telephone_number": "308-728-3154",
            "fax_number": "308-728-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621623",
            "telephone_number": "308-728-3154",
            "fax_number": "308-728-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS MEDICAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "13087283154",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32060622500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Smyth, PA-C
• Shaelyn Snider
• Danae Jill Snyder
• Jamie Spencer
• Luke J Staab, D.C.
• Daniel Merrick Stevens, M.D.
• Julie Marie Stevens, M.D.
• Angela K. Svoboda, PHARM.D.
• Sabrina Thompson
• Chantilly Lace Trejo

• Clinic/Center in Ord, NE
• Providers in Ord, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.