Active NPI
Philip Cary Stebbins, M.D.
- Family Medicine Physician
- Salem, NH
National Provider Identifier
1740259530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NH6432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732037 | Other | MA | TUFTS HEALTHCARE |
| 3272346 | Other | AETNA US HEALTHCARE | |
| 30203650 | Medicaid | NH | |
| 1280817 | Other | MA | FALLON HEALTHCARE |
| 1280817 | Other | MA | US FAMILY HEALTHCARE |
| J19502 | Other | MA | BLUE SHIELD OF MASSACHUSE |
| 0100251YPNH02 | Other | NH | ANTHEM BLUE SHIELD OF NH |
| 710521 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| P00129447 | Other | RAILROAD 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NH6432 | NH | MD | Family Medicine Physician |
| 15087 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Health Solutions, LLC | Current | Accepting new patients | |
| Elliot Physicians Network | Family Medicine | Past | Accepting new patients |
| Philip C. Stebbins | Family Medicine | Past | Accepting new patients |
Locations
25 Marston St
Ste 105
Lawrence, MA 01841
Phone (978) 258-1057
Interoperability endpoints
- philip.stebbins.1@5565.direct.athenahealth.com
- 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.
-
- Primary Care Clinic/Center
- Lawrence, MA
- NPI 1407385834
-
- Family Medicine Physician
- Londonderry, NH
- NPI 1528263472
-
- Family Medicine Physician
- Manchester, NH
- NPI 1831191659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.