Rodrick Albert Stevenson, MD, FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD047042L Issued in PA

Practice address

699 Rural Ave
Suite 104
Williamsport, PA 17701-3246

Phone

(570) 321-3180

Fax

(570) 321-3181

NPI assigned

Mar 9, 2006

Last updated

Nov 30, 2007By 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 6

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Meharry Medical College School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093
• Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stevenson_rodrick@yourcarecommunity.org

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.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment Care Compare group NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  dba Butler Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Butler, PA
  • NPI 1447283031
  NPD (past)
• Butler Medical Providers

  dba BHS Wound Care Associates

  • Surgery Physician
  • Butler, PA
  • NPI 1518307982
  NPD (past)
• Lock Haven Clinic Company, LLC

  • Orthopaedic Surgery Physician
  • Lock Haven, PA
  • NPI 1356430847
  NPD (past)
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD (past)
• Susquehanna Physician Services

  • Hepatology Physician
  • Williamsport, PA
  • NPI 1417091794
  NPD (past)
• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Surgery

  NPD (past)
• Dekalb Medical Hospitalists LLC

  • Hospitalist Physician
  • Decatur, GA
  • NPI 1811026891
  NPD (past)
• Dekalb Medical Specialty Care Group LLC

  • Neurology Physician
  • Decatur, GA
  • NPI 1063663037
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Butler Healthcare Providers

  dba Butler Memorial Hospital

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  Care Compare affiliation
• Butler Healthcare Providers

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
  • NPI 1558428573

  Hospital

  Care Compare affiliation
• Butler Memorial Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Butler, PA
  • NPI 1821162314
  Care Compare affiliation
• Clarion Hospital

  • General Acute Care Hospital
  • Clarion, PA
  • NPI 1265422901
  Care Compare affiliation
• Clarion Hospital

  • Psychiatric Hospital Unit
  • Butler, PA
  • NPI 1861329153
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1689642340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "PO BOX 3127",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 RURAL AVE",
            "address_2": "SUITE 104",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013246",
            "telephone_number": "570-321-3180",
            "fax_number": "570-321-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "RODRICK",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD047042L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5166004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017727370011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "698487",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1276362",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "819135",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "F91721",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Ryan Steffine, CRNP, DNP
• Bernard C Steinbacher, MD
• Kelle Rae Steinbacher
• Sean Sterner, PA-C
• Steven a Hartung, DPM
• Clayton Morris Steward Jr., MS, BSL
• Keith E Stiger
• Lyndsey M Stiger, LCSW
• Jodi Stiner, MPT
• Sherie Stiner, MHS CCJS

• Surgery Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.

Verify at the official NPI Registry.