Thomas R Stevens, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD08888 Issued in OR

Practice address

655 Medical Center Dr NE
Salem, OR 97301-2751

Phone

(503) 581-5287

Fax

(503) 588-6843

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Medical Center Eye Clinic LLC

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1255859799
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1770587370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MEDICAL CENTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012751",
            "telephone_number": "503-581-5287",
            "fax_number": "503-588-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MEDICAL CENTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012751",
            "telephone_number": "503-581-5287",
            "fax_number": "503-588-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD08888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18071-1",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad N. Stevens, Q.M.H.A.
• Emily Stevens
• Janet Kay Stevens
• John A Stevens, MD
• Namoi Stevens
• Angela Marie Stevenson, QMHA
• Christopher Trameil Stevenson, D.C.
• Linda K Stevenson, MD
• Breanna Steves, LMT
• Ashley Rae Steward, CADC-R

• Ophthalmology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.