Individual provider Active NPI

Philip Cary Stebbins, M.D.

  • Family Medicine Physician
  • Salem, NH
National Provider Identifier
1740259530
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NH6432 Issued in NH
Practice address
22 Main St
Salem, NH 03079-5900
Phone
(603) 893-7905
Fax
(603) 898-6106
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NH6432 NH Primary

Addresses

Primary practice location

22 Main St
Salem, NH 03079-5900

Mailing address

22 Main St
Salem, NH 03079-5900
Phone (603) 893-7905

Other identifiers 9

IdentifierTypeStateIssuer
732037OtherMATUFTS HEALTHCARE
3272346OtherAETNA US HEALTHCARE
30203650MedicaidNH
1280817OtherMAFALLON HEALTHCARE
1280817OtherMAUS FAMILY HEALTHCARE
J19502OtherMABLUE SHIELD OF MASSACHUSE
0100251YPNH02OtherNHANTHEM BLUE SHIELD OF NH
710521OtherMAHARVARD PILGRIM HEALTHCAR
P00129447OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150521000630 MA Practitioner - Family Practice 3870583651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Health Solutions LLCGroup PAC ID 9032481072, 3 clinicians

Practice addresses (Care Compare)

25 Marston St
Suite 105
Lawrence, MA 01841-2356
Phone (978) 258-1057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NH6432NHMDFamily Medicine Physician
15087MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Health Solutions, LLC CurrentSince Nov 5, 2020 Accepting new patients
Elliot Physicians Network Family Medicine Past Accepting new patients
Philip C. Stebbins Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

25 Marston St
Ste 105
Lawrence, MA 01841
Phone (978) 258-1057

Interoperability endpoints

  • Direct secure messaging: philip.stebbins.1@5565.direct.athenahealth.com
  • Direct secure messaging: philip.stebbins@614.chartlogic.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1740259530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795900",
            "telephone_number": "603-893-7905",
            "fax_number": "603-898-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795900",
            "telephone_number": "603-893-7905",
            "fax_number": "603-898-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "PHILIP",
        "middle_name": "CARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "NH6432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHCARE",
            "identifier": "732037",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "3272346",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203650",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTHCARE",
            "identifier": "1280817",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY HEALTHCARE",
            "identifier": "1280817",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MASSACHUSE",
            "identifier": "J19502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD OF NH",
            "identifier": "0100251YPNH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "710521",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00129447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.