Jonathan Craig Stevens, MD

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

M7507 Issued in ID

Practice address

105 Vermeer Dr Unit 1
Ponderay, ID 83852-9802

Phone

(208) 266-1677

Fax

(208) 266-0440

NPI assigned

May 19, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. J Craig Stevens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• J. Craig Stevens MD PC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Post Falls, ID
  • NPI 1548544570
  Authorized official Same address or phone
• Shellman Inc PA

  dba North Idaho Physical Therapy

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1326050253
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366495178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "CLARK FORK",
            "state": "ID",
            "postal_code": "83811",
            "telephone_number": "208-266-1677",
            "fax_number": "208-266-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VERMEER DR UNIT 1",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529802",
            "telephone_number": "208-266-1677",
            "fax_number": "208-266-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 N Syringa St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545275",
            "country_code": "US",
            "telephone_number": "208-266-1677",
            "fax_number": "208-765-5654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60319 Highway 200",
            "address_purpose": "LOCATION",
            "city": "Clark Fork",
            "state": "ID",
            "postal_code": "83811",
            "country_code": "US",
            "telephone_number": "208-266-1677",
            "fax_number": "208-266-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JONATHAN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M7507",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ID",
            "license": "M7507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "STEVENS",
            "middle_name": "CRAIG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nancy J Schmidt, PHD, CADC, MAC, CHES
• Traci D Schmidt, PT
• Robert Seiberlich, NMD, LMT
• Bruce Spradlin
• Vern Stairs, RPH
• Stuart Gall Crna Inc
• Sunrise Speech and Language, LLC
• Travis Lee Taylor, FNP-C, CRNFA
• Kelcee Tomco, LMT
• Wal-Mart Stores, Inc (Vision Center 30-2485)

• Neuromusculoskeletal Medicine & OMM Physician in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.