Active NPI
Jarod Stevenson
- Orthopaedic Surgery Physician
- Baton Rouge, LA
National Provider Identifier
1750887279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 75270-21
- Practice address
- 8939 Jefferson Hwy Apt 108
Baton Rouge, LA 70809-2419 - Phone
- (301) 481-9695
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 75270-21 | WI | Primary |
Addresses
Primary practice location
8939 Jefferson Hwy Apt 108
Baton Rouge, LA 70809-2419
Mailing address
8939 Jefferson Hwy Apt 108
Baton Rouge, LA 70809-2419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11355862850 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Hospital Based, LLC | Past | Accepting new patients | |
| Children's Orthopaedics of Atlanta P.C. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- NPI 1548247000
-
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- Brookhaven, GA
- NPI 1457695488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1750887279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8939 JEFFERSON HWY APT 108",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8939 JEFFERSON HWY APT 108",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092419",
"telephone_number": "301-481-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "JAROD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "75270-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11355862850",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.