John Albert Stevens, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01043105 Issued in IN

Practice address

777 S Main St
Suite 100
Clinton, IN 47842-2493

Phone

(765) 828-1003

Fax

(765) 828-1030

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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.

• Associated Physicians & Surgeons Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1962586198

  Family Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2011.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1972594596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478420344",
            "telephone_number": "765-828-1003",
            "fax_number": "765-828-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003",
            "fax_number": "765-828-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080141873",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith, LMFT
• South Vermillion Community School Corporation
• Paul Eric Southwick, MS, CADAC IV
• Martin F. B. Springer, M.D.
• Cole William Stapp, DMD
• Angela Deann Stewart, P.T.
• Nicole Suzette Hall Stilianos, N.P.
• Melissa Ann Stinnett, LSW
• The Happy Tooth, LLC
• The Health and Hospital Corporation of Marion County

• All providers in Clinton, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.