Donald Joe Stephenson, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA03027 Issued in TX

Practice address

1701 Pine St
Abilene, TX 79601-3043

Phone

(325) 677-6219

Fax

(325) 677-0129

NPI assigned

Sep 20, 2006

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Orthopedic Associates of Peoria, S.C.

  dba Great Plains Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1467418350
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1619074622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-677-6219",
            "fax_number": "325-677-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-677-6219",
            "fax_number": "325-677-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "DONALD",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "89N525",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094750901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970024360",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephania Gilkey PLLC
• Stephen F Owen (Owen Pharmacy)
• Stephen F. Owen (Owen Total Care Medical Supply)
• Stephen M. Osborn, PH.D., P.C.
• Constance Fiero Stephens, CCC-A
• Lauren Stephenson, FNP
• Megan Dianne Stephenson, FNP
• Sterling Diagnostics Services LLC
• Steven Wallace Brown, M.D., P.a.
• Laurie Stevens-Beck, LPC

• Surgical Physician Assistant in Abilene, TX
• Providers in Abilene, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.