Active NPI
Joel Stevens, MD PC
- Surgery Physician
- Washington, DC
National Provider Identifier
1962517847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD6819
- Practice address
- 106 Irving St NW
Suite 204
Washington, DC 20010-2993 - Phone
- (202) 462-6479
- Fax
- (202) 723-3106
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD6819 | DC | Primary |
| Surgery Physician | 208600000X | D0023042 | MD |
Addresses
Primary practice location
106 Irving St NW
Suite 204
Washington, DC 20010-2993
Mailing address
106 Irving St NW
Suite 204
Washington, DC 20010-2993
Phone (202) 462-6479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0569 | Other | BXBS |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0023042 | MD | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1962517847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "SUITE 204",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102993",
"telephone_number": "202-462-6479",
"fax_number": "202-723-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "SUITE 204",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102993",
"telephone_number": "202-462-6479",
"fax_number": "202-723-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JOEL",
"credential": "MD PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "MD6819",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0023042",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "0569",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.