Individual provider Active NPI

Michael Anthony Stevens, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1750638128
Registry record updated Aug 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD012788E Issued in PA
Practice address
6171 E Owls Nest PL
Tucson, AZ 85750-2095
Phone
(520) 529-5522
Fax
(520) 529-5522
NPI assigned
Aug 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD012788E PA Primary

Addresses

Primary practice location

6171 E Owls Nest PL
Tucson, AZ 85750-2095

Mailing address

6171 E Owls Nest PL
Tucson, AZ 85750-2095
Phone (520) 529-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1750638128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 E OWLS NEST PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502095",
            "telephone_number": "520-529-5522",
            "fax_number": "520-529-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 E OWLS NEST PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502095",
            "telephone_number": "520-529-5522",
            "fax_number": "520-529-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD012788E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.