Organization Active NPI

Jewel a Stevens MD LLC

  • Family Medicine Physician
  • Carlisle, OH
National Provider Identifier
1295913119
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35042214S Issued in OH
Legal business name
JEWEL A STEVENS MD LLC
Practice address
300 Business Pkwy
Carlisle, OH 45005
Phone
(937) 746-2813
Fax
(937) 746-2753
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Jewel A Stevens, MDNPI 1316921067
Title
MD
Phone
(937) 746-2813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35042214S OH Primary

Addresses

Primary practice location

300 Business Pkwy
Carlisle, OH 45005

Mailing address

300 Business Pkwy
Carlisle, OH 45005
Phone (937) 746-2813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000111 OH Part B Supplier - Clinic/Group Practice 4789768771 Receives reassigned benefits from 5 practitioners
Practice locations: Carlisle, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1295913119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BUSINESS PKWY",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "45005",
            "telephone_number": "937-746-2813",
            "fax_number": "937-746-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BUSINESS PKWY",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "45005",
            "telephone_number": "937-746-2813",
            "fax_number": "937-746-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL A STEVENS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "937-746-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35042214S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.