Individual provider Active NPI

Stephen Jacob Levine, M.D.

  • Blood Banking & Transfusion Medicine Physician
  • Tecumseh, OK
National Provider Identifier
1386761641
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blood Banking & Transfusion Medicine PhysicianTaxonomy code 207ZB0001X
License
11477 Issued in OK
Practice address
22491 High Ridge LN
Tecumseh, OK 74873-6392
Phone
(405) 919-9524
Fax
(405) 919-9524
NPI assigned
Mar 23, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 11477 OK Primary

Addresses

Primary practice location

22491 High Ridge LN
Tecumseh, OK 74873-6392

Mailing address

22491 High Ridge LN
Tecumseh, OK 74873-6392
Phone (405) 919-9524

Other practice location 1

1001 N Lincoln Blvd
Oklahoma City, OK 73104-3251
Phone (405) 297-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386761641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22491 HIGH RIDGE LN",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748736392",
            "telephone_number": "405-919-9524",
            "fax_number": "405-598-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22491 HIGH RIDGE LN",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748736392",
            "telephone_number": "405-919-9524",
            "fax_number": "405-919-9524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731043251",
            "country_code": "US",
            "telephone_number": "405-297-5620",
            "fax_number": "405-297-5729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "STEPHEN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "OK",
            "license": "11477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.