Individual provider Active NPI

Stephen M. Treon, MD,PHD

  • Internal Medicine Physician
  • Copperhill, TN
National Provider Identifier
1821092453
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000024711 Issued in TN
Practice address
141 Ocoee St
Copperhill, TN 37317
Phone
(423) 496-4103
Fax
(423) 496-4106
NPI assigned
Jun 10, 2005
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000024711 TN Primary
Rheumatology Physician 207RR0500X MD0000024711 TN

Addresses

Primary practice location

141 Ocoee St
Copperhill, TN 37317

Mailing address

PO Box 1107
141 Ocoee
Copperhill, TN 37317-1107
Phone (423) 496-4103

Other identifiers 6

IdentifierTypeStateIssuer
169300MedicaidTN
4415141OtherTNCIGNA
85000174GMedicaidGA
00540383AMedicaidGA
169300OtherTNBCBS
890693WMedicaidNC

Other names 1

  • Dr. Stephen Marshal Treon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000291 TN Practitioner - Internal MedicinePractitioner - Rheumatology 1850499666 Practice locations: Copperhill, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Pittsburgh School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Ocoee St
Copperhill, TN 37317-4072
Phone (423) 496-4103

PO Box
Suite 1107
Copperhill, TN 37317

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000024711TNMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: streon@yourcarecommunity.org

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1821092453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "address_2": "141 OCOEE",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373171107",
            "telephone_number": "423-496-4103",
            "fax_number": "423-496-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 OCOEE ST",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "37317",
            "telephone_number": "423-496-4103",
            "fax_number": "423-496-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREON",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000024711",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "MD0000024711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169300",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4415141",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000174G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00540383A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "169300",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890693W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "TREON",
            "middle_name": "MARSHAL",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Copperhill, TN

Sources for this page

Verify at the official NPI Registry.