Individual provider Active NPI

Julia Stevenson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1285835488
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101263805 Issued in VA
Practice address
300 Medical Pkwy Ste 300
Chesapeake, VA 23320-4985
Phone
(757) 389-5505
Fax
(757) 389-5504
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0101263805 VA Primary

Addresses

Primary practice location

300 Medical Pkwy Ste 300
Chesapeake, VA 23320-4985

Mailing address

300 Medical Pkwy Ste 300
Chesapeake, VA 23320-4985
Phone (757) 389-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140723000365 PA Practitioner - Plastic and Reconstructive Surgery 2062638372 Reassigns benefits to 2 organizations
I20190422002398 VA Practitioner - Plastic and Reconstructive Surgery 2062638372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Pennsylvania State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Medical Pkwy
Suite 300
Chesapeake, VA 23320-4985
Phone (757) 389-5505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101263805VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 15, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 15, 2017 Accepting new patients
Guthrie Clinic, LTD CurrentSince Aug 11, 2014 Accepting new patients
Cardinal Plastic Surgery PLLC Plastic and Reconstructive Surgery CurrentSince Sep 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients

Locations

1 Tech Park Dr
Ste 1200
Johnstown, PA 15901
Phone (814) 534-6750

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

300 Medical Pkwy
Ste 300
Chesapeake, VA 23320
Phone (757) 389-5505

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1285835488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-389-5505",
            "fax_number": "757-389-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-389-5505",
            "fax_number": "757-389-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JULIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101263805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.