NPIMap

Organization Active NPI

Jay D Stevens MD PC

  • Internal Medicine Physician
  • Franklin, PA
National Provider Identifier
1619022407
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD419425 Issued in PA
Legal business name
JAY D STEVENS MD PC
Practice address
150 Prospect Ave
Franklin, PA 16323-2542
Phone
(814) 437-1312
Fax
(814) 437-6974
NPI assigned
Jan 24, 2007
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Jay D Stevens, MDNPI 1760461834
Title
President
Phone
(814) 437-1312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD419425 PA Primary

Addresses

Primary practice location

150 Prospect Ave
Franklin, PA 16323-2542

Mailing address

150 Prospect Ave
Franklin, PA 16323-2542
Phone (814) 437-1312

Other identifiers 2

IdentifierTypeStateIssuer
1665644OtherPABLUE CROSS BLUE SHIELD
DF8357OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

150 Prospect Ave
Ste 101
Franklin, PA 16323
Phone (814) 437-1312

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1619022407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROSPECT AVE",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232542",
            "telephone_number": "814-437-1312",
            "fax_number": "814-437-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROSPECT AVE",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232542",
            "telephone_number": "814-437-1312",
            "fax_number": "814-437-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY D STEVENS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-437-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD419425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1665644",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8357",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.