Jennifer Sue Stevens, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36002834 Issued in OH

Practice address

415 W Russ Rd
Greenville, OH 45331-2457

Phone

(937) 548-1244

Fax

(937) 548-8898

NPI assigned

Mar 16, 2006

Last updated

Feb 20, 2008By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Foot and Ankle Care LLC

  • Podiatric Clinic/Center
  • Greenville, OH
  • NPI 1881872273
  Medicare reassignment NPD
• Western Ohio Podiatric Medical Center Inc

  • Podiatrist
  • Greenville, OH
  • NPI 1376643411

  IN

  Medicare reassignment
• Active Foot and Ankle Care LLC

  • Foot & Ankle Surgery Podiatrist
  • Troy, OH
  • NPI 1164773875
  NPD
• Dayton Interventional Radiology LLC

  • Vascular & Interventional Radiology Physician
  • Kettering, OH
  • NPI 1316923915

  Foot & Ankle Surgery

  NPD (past)
• Orthopedic Associates of Lake Co Inc

  • Orthopaedic Surgery Physician
  • Madison, OH
  • NPI 1245376078
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1720057284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W RUSS RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312457",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W RUSS RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312457",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenette Marie Stark
• Taylor Staugler
• Amber Steiner
• Stephen Richard Stentzel, D.D.S.
• Alexander Stephan
• Ashley Suzette Stonerock
• John P Studebaker, MD
• Donna Kay Stuhlsatz, LICENSED PROFESSIONA
• Angela Marie Sunderhaus, PHARMD
• Mark Suter, PT

• Foot & Ankle Surgery Podiatrist in Greenville, OH
• Providers in Greenville, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.