Jewel A Stevens, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42214 Issued in OH

Practice address

300 Business Parkway
Carlisle, OH 45005

Phone

(937) 746-2813

Fax

(937) 746-2753

NPI assigned

Dec 5, 2005

Last updated

Nov 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jewel a Stevens MD LLC

  • Family Medicine Physician
  • Carlisle, OH
  • NPI 1295913119
  Authorized official Same address or phone

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1316921067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BUSINESS PARKWAY",
            "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 PARKWAY",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "45005",
            "telephone_number": "937-746-2813",
            "fax_number": "937-746-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JEWEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "42214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365144",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Pringle
• Amanda R Salyer, LPN
• Jacki Lynn Shackelford, RN
• Society for Handicapped Citizens Inc.
• Robert Dale Spencer Jr., LPN
• Martha Stevens, MOT,OTR/L
• Alicia K Stidham
• Tanya Ann Sutter, L.P.N
• Renate Swain
• Telehealth Counseling, LLC

• Family Medicine Physician in Carlisle, OH
• Providers in Carlisle, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.