William G Stetler-Stevenson, M.D., PH.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

D0035477 Issued in MD

Practice address

8717 Grovemont Cir
Radiation Oncology Branch, National Cancer Institute
Gaithersburg, MD 20877-4117

Phone

(301) 402-1521

NPI assigned

Mar 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1659645174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 BYEFORDE RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953609",
            "telephone_number": "301-929-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 GROVEMONT CIR",
            "address_2": "RADIATION ONCOLOGY BRANCH, NATIONAL CANCER INSTITUTE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774117",
            "telephone_number": "301-402-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETLER-STEVENSON",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Prof.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "D0035477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Anatomic Pathology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.