Active NPI
Jewel a Stevens MD LLC
- Family Medicine Physician
- Carlisle, OH
National Provider Identifier
1295913119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35042214S
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jewel A Stevens, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- Family Medicine Physician
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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.