Darryl R. Stevens, DO

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1500 E Sherman Blvd
Mercy General Health Partners - Radiology Dept.
Muskegon, MI 49444-1849

Phone

(231) 739-9341

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Lakeshore Imaging Consultants, PLC

  • Specialist
  • Muskegon, MI
  • NPI 1225132822
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821013103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 140",
            "address_2": "LAKESHORE IMAGING CONSULTANTS, PLC",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172281",
            "telephone_number": "231-725-8119",
            "fax_number": "616-846-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "address_2": "MERCY GENERAL HEALTH PARTNERS - RADIOLOGY DEPT.",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441849",
            "telephone_number": "231-739-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DARRYL",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DS006137",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2747686",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ash Counseling Services, PLLC
• Charlene Luellen Stephens, LMSW
• Isaac Watson Stephenson
• Kathleen Patricia Stephenson
• Caryne Sterling, LLMSW
• Karah Danielle Stevens
• Krystal Rae Stevenson, LLBSW
• Bernard T Steward
• Breann Stewart
• Douglas Blan Stewart, M.D.

• Specialist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.