JEFFREY S STEPHENS (NPI# 1326097676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097676 |
| Entity Type | Individual |
| Full Name | JEFFREY S STEPHENS |
| Credential | M.D. |
| Practice Address |
4450 Tubbs Rd Rockwall TX 75032-6308 |
| Practice Telephone | 9727223290 |
| Practice Fax Number | 9727223815 |
| Mailing Telephone | 9727223290 |
| Mailing Fax Number | 9727223815 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J2983 | TX | Other Service Providers |
| N | 208600000X | Surgery | J2983 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MCPTAN | 265403YN0Q | 01 |
| TX | AMERIGROUP | 0999351 | 01 |
| TX | TEXAS LICENSE | J2983 | 01 |
| TX | GRP NPI | 1093083560 | 01 |
| TX | RR MEDICARE | P01153365 | 01 |
| TX | 099935106 | 05 | |
| TX | TIN # | 36-412381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336451269 | Jeffrey M Stephens | Nurse Practitioner | 9645 Riverside Pkwy, Ste C, Tulsa, OK 74137-7423 | 2010-07-08 |
| 1336601731 | Jeffrey Patrick Stephens | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-04-03 |
| 1871929745 | Jeffrey Lee Stephens | Pharmacist | 7200 Us Highway 431, Albertville, AL 35950-1250 | 2013-09-23 |
| 1538239389 | Jeffrey L Stephens | Internal Medicine | 707 Pine Street, Macon, GA 31201 | 2006-11-09 |
| 1417900846 | Jeffrey James Stephens | Psychiatry & Neurology | 27 Memorial Medical Dr, Greenville, SC 29605-4407 | 2006-05-18 |
| 1508833138 | Jeffrey J Stephens | Ophthalmology | 7450 France Ave S, Suite 100, Edina, MN 55435-4787 | 2006-03-02 |
| 1447240338 | Jeffrey A Stephens | Internal Medicine | 203 W Elm St, Suite C, Florence, SC 29501-4750 | 2005-10-24 |
| Street Address |
4450 TUBBS RD |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393415 | Katherine R Makohon | Specialist | 4450 Tubbs Rd, Rockwall, TX 75032-6308 | 2005-08-19 |
| 1831468800 | Lakeside Surgery Pa | Surgery | 4450 Tubbs Rd, Rockwall, TX 75032-6308 | 2011-12-21 |
| 1952577546 | Caraleigh Nicole Buxie | Specialist | 4450 Tubbs Rd, Rockwall, TX 75032-6308 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| 1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
| Find all providers in zip 75032 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467652032 | Southwest Neurology, Pa | Specialist | 6701 Heritage Pkwy Ste 110, Rockwall, TX 75087-8799 | 2007-07-23 |
| 1770691123 | Richard Scott Mcpherson | Specialist | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7809 | 2006-08-27 |
| 1215964358 | Monica Quynh Nguyen | Specialist | 2665 Market Center Dr Ste 100, Rockwall, TX 75032-6563 | 2006-06-26 |
| 1982685053 | Donald R Zivney Jr. | Specialist | 547 E I30, Rockwall, TX 75087-5408 | 2005-11-07 |
| 1275524597 | Daneane Pierce | Specialist | 1005 W Ralph Hall, Suite 201, Rockwall, TX 75032-6658 | 2005-11-04 |
| 1952393415 | Katherine R Makohon | Specialist | 4450 Tubbs Rd, Rockwall, TX 75032-6308 | 2005-08-19 |
| 1841282365 | David W Ritter | Specialist | 6705 Heritage Pkwy Ste 104, Rockwall, TX 75087-8729 | 2005-08-19 |
| 1902898356 | Stephanie R Shisler | Specialist | 1005 W Ralph Hall Pkwy Ste 107, Rockwall, TX 75032-6663 | 2005-08-19 |
| 1992709620 | Walter L Taylor IIi | Specialist | 6701 Heritage Pkwy, Ste 110, Rockwall, TX 75087-8799 | 2005-06-10 |
| 1003350497 | Sleep Interpreters Pllc | Specialist | 1005 W Ralph Hall Pkwy, Suite 107, Rockwall, TX 75032-6658 | 2016-12-05 |
| Find all providers in ROCKWALL | ||||
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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.