Mark David Stevens, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000345 Issued in CT

Practice address

30 W Avon Rd
Avon, CT 06001-3678

Phone

(860) 673-2581

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Health of New England Urgent Care PLLCGroup PAC ID 9436561388, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary's Hospital Hospital, Waterbury, CT, CCN 070016

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: mstevens3102433@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Health of New England Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Waterbury, CT
  • NPI 1447867452
  Medicare reassignment Care Compare group
• Long River Physicians, LLC

  • Internal Medicine Physician
  • Naugatuck, CT
  • NPI 1912241589
  NPD (past)
• Southington Urgent Care

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1205959301
  NPD (past)

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

• Saint Mary's Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1851548374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013678",
            "telephone_number": "860-673-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Stanislaw Jr., MD
• Carol Stansfield, LPC
• State of Connecticut (Durable Medical Equipment & Medical Supplies)
• Tina Marie Steen
• Stephanie Panico LLC
• Rachel Beth Stevenson, PTA
• Krista Lynn Stiebel, LCSW
• Vanessa Boccaccio Stockford, PA-C
• Michelle Stoppani
• Christine Storms, LMT

• Medical Physician Assistant in Avon, CT
• Providers in Avon, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.