Individual provider Active NPI

Ben S Stehower

  • Radiologic Technologist
  • Prescott, AZ
National Provider Identifier
1386926798
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
451060 Issued in AZ
Practice address
805 Whipple St Ste a
Prescott, AZ 86301-1617
Phone
(928) 533-5253
Fax
(928) 777-9183
NPI assigned
Sep 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 451060 AZ Primary

Addresses

Primary practice location

805 Whipple St Ste a
Prescott, AZ 86301-1617

Mailing address

805 Whipple St Ste a
Prescott, AZ 86301-1617
Phone (928) 533-5253

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

State licenses

LicenseStateTypeSpecialty
451060AZMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin S Stehower Radiologic Technologist CurrentSince Sep 1, 2011 Accepting new patients
Benjamin S Stehower Current Accepting new patients

Locations

805 Whipple St
Ste A
Prescott, AZ 86301
Phone (928) 533-5253

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1386926798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 WHIPPLE ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011617",
            "telephone_number": "928-533-5253",
            "fax_number": "928-777-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WHIPPLE ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011617",
            "telephone_number": "928-533-5253",
            "fax_number": "928-777-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHOWER",
        "first_name": "BEN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "AZ",
            "license": "451060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.