Kenton Edgar Stephens Jr., MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4620 Issued in AK

Practice address

2751 Debarr Rd Ste B320
Anchorage, AK 99508-6805

Phone

(907) 375-2000

Fax

(907) 375-5558

NPI assigned

Jul 13, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kestephens@direct.anthc.org

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1700801131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743896",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743896",
            "telephone_number": "907-375-2000",
            "fax_number": "907-375-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD STE B320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086805",
            "telephone_number": "907-375-2000",
            "fax_number": "907-375-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KENTON",
        "middle_name": "EDGAR",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AK",
            "license": "4620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gay Stephan, SLP
• Stephen D Kulin MD
• Stephen G. Howard, DDS, Inc
• Andy P Stephens
• Burl C Stephens, MD
• Liane Elizabeth Stephens, RN
• Richard William Stephens, DDS
• Sarah Stephens
• Trachelle Stepney, CCM
• Benita L Stepp

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.