Stevenson Orthopedic Services P.LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PT764 Issued in WY

Legal business name

STEVENSON ORTHOPEDIC SERVICES P.LLC

Practice address

4401 College Dr
Rock Springs, WY 82901-3507

Phone

(307) 352-8930

Fax

(307) 352-8947

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Eugene Stevenson, PA-C

Title

Organizer

Phone

(208) 936-0303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1326528977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 N 2455 E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015791",
            "telephone_number": "208-936-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829013507",
            "telephone_number": "307-352-8930",
            "fax_number": "307-352-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON ORTHOPEDIC SERVICES P.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "208-936-0303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PT764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Stephenson
• Tania Stephenson
• Sterling Provider Group
• Steven M. Harmon DDS, PC
• Nacole Stevens, B.A.
• James Gillespie Stevenson, CMHW
• Kailee Rae Steward, RBT
• Israel M Stewart, DO
• Shanaye Stewart
• Deseriee Stofferahn

• Medical Physician Assistant in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Medical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.