MR. KEN TOBIAS STEVENSON (NPI# 1023168044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023168044 |
| Entity Type | Individual |
| Full Name | MR. KEN TOBIAS STEVENSON |
| Credential | L.S.A |
| Practice Address |
4831 Canyon Shore Dr Humble TX 77396-6109 |
| Practice Telephone | 8324288626 |
| Mailing Telephone | 8324288626 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4831 CANYON SHORE DR |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427355957 | Pamela Barrow | Non-emergency Medical Transport (VAN) | 4831 Canyon Shore Dr, Humble, TX 77396-6109 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
| Find all providers in zip 77396 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487083200 | Mbm Assisting LLC | Physician Assistant | 9490 Fm 1960 Bypass W. Ste. 200-310, Humble, TX 77338-3962 | 2013-11-02 |
| 1396172185 | Oprthopaedic Surgical Assistants | Physician Assistant | 7933 Farmingham Road, Suite C Box 11, Humble, TX 77346 | 2013-10-11 |
| 1841639689 | Antonio Rallos Macapaz Sr. | Physician Assistant | 18402 Huron Park Trl, Humble, TX 77346-3453 | 2013-06-14 |
| 1558675363 | Superior Assistants Inc. | Physician Assistant | 17210 Timber Rail Ct, Humble, TX 77396-4073 | 2010-08-04 |
| 1417273996 | John Edward Doucet Jr. | Physician Assistant | 7215 Fox Star Ln, Humble, TX 77338 | 2010-04-09 |
| 1871815431 | Leana Lynn Basco | Physician Assistant | 3 New Oak Trail, Humble, TX 77346-8151 | 2010-02-24 |
| 1104061738 | Robin Denise Williams | Physician Assistant | 17210 Timber Rail Ct., Humble, TX 77396 | 2008-12-11 |
| 1255384061 | Andrea M Mcniel | Physician Assistant | 18955 N Memorial Dr Ste 240, Humble, TX 77338-4271 | 2006-05-19 |
| 1215927488 | Tammy Drerup | Physician Assistant | 7510 Echo Pines Dr, Humble, TX 77346-3140 | 2005-10-27 |
| 1598183675 | Erin Nicole Placette | Physician Assistant | 18955 N Memorial Dr, Suite 400, Humble, TX 77338-4271 | 2014-04-04 |
| Find all providers in HUMBLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.