Active NPI
Andrew Christian Stevens, MD
- General Practice Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301084023
- Practice address
- 580 W College Avenue
Marquette, MI 49855 - Phone
- (906) 225-7414
- Fax
- (906) 225-3031
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301084023 | MI | |
| General Practice Physician | 208D00000X | 4301084023 | MI | Primary |
Addresses
Primary practice location
580 W College Avenue
Marquette, MI 49855
Mailing address
4602 Dept
Carol Stream, IL 60122-0021
Phone (906) 225-4821
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5192136 | Medicaid | MI | |
| AS084023 | Other | MI | BCBS OF MICHIGAN |
| P00423091 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 W Magnetic St
Marquette General Emergency Medicin
Marquette, MI 49855-2700
Phone (906) 225-3466
Hospital & facility affiliations
- Uphs Marquette DLP Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084023 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Acquisition Bell Hospital LLC | Current | Accepting new patients | |
| Acquisition Bell Hospital LLC | Current | Accepting new patients | |
| Acquisition Bell Hospital LLC | Emergency Medicine | Past | Accepting new patients |
Locations
901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653
18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
Organizations & group practices 9
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.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
-
- Critical Access Hospital
- Lanse, MI
- NPI 1558479824
-
- Family Medicine Physician
- Lanse, MI
- NPI 1851409643
-
- Anesthesiology Physician
- Ishpeming, MI
- NPI 1013789015
-
- Emergency Medicine Physician
- Lanse, MI
- NPI 1508960600
-
- Home Health Agency
- Lanse, MI
- NPI 1932218807
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Emergency Medicine Physician
- Ishpeming, MI
- NPI 1134901291
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1508078098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 DEPT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601220021",
"telephone_number": "906-225-4821",
"fax_number": "906-225-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVENUE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-7414",
"fax_number": "906-225-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ANDREW",
"middle_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301084023",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301084023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5192136",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "AS084023",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00423091",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.