Joule N Stevenson MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2002019263 Issued in MO

Legal business name

JOULE N STEVENSON MD LLC

Practice address

12277 De Paul Dr
Suite 406
Bridgeton, MO 63044-2516

Phone

(314) 731-7844

Fax

(314) 731-3296

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joule N Stevenson, M.D.

Title

Physician Owner

Phone

(314) 731-7844

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1407068851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "SUITE 406",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442516",
            "telephone_number": "314-731-7844",
            "fax_number": "314-731-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "SUITE 406",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442516",
            "telephone_number": "314-731-7844",
            "fax_number": "314-731-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOULE N STEVENSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JOULE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "314-731-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2002019263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCAREUSA",
            "identifier": "40798V56535",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507561801",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "165057",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "321634",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "520762",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel M Jones
• Theresa Ellen Jones, M.D.
• Vanessa Jones, MSW
• Joseph J Drago DPM
• Leslie Joseph, DPM
• Aida Junuzovic
• Matthew Kahle
• Anjali Kamat, M.D.
• Christine Elise Kampmann
• Karansingh, LLC

• Primary Care Clinic/Center in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.