RICHARD T STEVENS, MD, PC (NPI# 1356374086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356374086 |
| Entity Type | Organization |
| Organization Name | RICHARD T STEVENS, MD, PC |
| Practice Address |
169 Springcreek Pkwy 100 Providence UT 84332-9707 |
| Mailing Address |
Po Box 609 Providence UT 84332-0609 |
| Practice Telephone | 4357520330 |
| Practice Fax Number | 4357550922 |
| Mailing Telephone | 4357520330 |
| Mailing Fax Number | 4357550922 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | DR. RICHARD T STEVENS (OWNER) |
| Authorized Official Telephone | 4357520330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
61283271205 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE | 61283271205 | 01 |
| Street Address |
169 SPRINGCREEK PKWY 100 |
| City | PROVIDENCE |
| State | UT |
| Zip Code | 84332-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730227778 | Martin Lee Anderson | Physical Therapist | 169 Springcreek Pkwy, Providence, UT 84332-9707 | 2007-02-02 |
| 1134287550 | Todd Michael Butler | Dentist | 169 Springcreek Pkwy, Suite 105, Providence, UT 84332-9707 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
| 1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
| 1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
| 1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
| 1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
| Find all providers in zip 84332 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558508598 | Providence College Student Health Services | Clinic/Center | 549 River Ave, Providence, RI 02918-7000 | 2009-01-13 |
| 1336335884 | Lars Bergeson, Md, PC | Clinic/Center | 382 N 280 W, Providence, UT 84332-0609 | 2007-09-19 |
| 1972662104 | Children's Friend and Service | Clinic/Center | 153 Summer St, Providence, RI 02903-4011 | 2006-12-06 |
| 1669871919 | Blackstone Massage Therapy Center | Clinic/Center | 295 Governor St, Providence, RI 02906-3241 | 2014-08-21 |
| 1093154031 | James Dennis Mathews, D.o., P.C. | Clinic/Center | 382 W 280 N, Providence, UT 84332-0609 | 2013-06-24 |
| 1003001959 | Kevin R Duke, Do, PC | Clinic/Center | 382 W 280 N, Providence, UT 84332-0609 | 2007-09-12 |
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|---|---|---|---|---|
| 1376166405 | Be Well Connected, Pllc | Clinic/Center | 13965 N Willow Creek Dr, Beaverdam, UT 84306-8707 | 2020-05-23 |
| 1306466636 | Mountain Moments | Clinic/Center | 1154 Center Dr Ste D250, Park City, UT 84098-1258 | 2020-04-16 |
| 1639718091 | Anchor Spinal Rehab - Orem | Clinic/Center | 865 N 900 W, Orem, UT 84057-7701 | 2020-01-03 |
| 1952955296 | Roots and Raices Functional Medicine Inc. | Clinic/Center | 1452 E Ridgeline Dr Ste 5, South Ogden, UT 84405-4949 | 2019-07-25 |
| 1124685508 | Comprehensive Chiropractic and Recovery | Clinic/Center | 1684 W Reunion Ave Ste 100, South Jordan, UT 84095-4609 | 2019-05-21 |
| 1770050684 | Bedrock Health Center, Pllc | Clinic/Center | 347 N 300 W Ste 203, Kaysville, UT 84037-1828 | 2018-10-29 |
| 1992170443 | Usu Student Health & Wellness | Clinic/Center | 9100 Old Main Hl, Logan, UT 84322-9100 | 2015-12-09 |
| 1548630908 | Smart Medical, LLC | Clinic/Center | 6337 S Highland Dr, Ste 110, Salt Lake City, UT 84121-2107 | 2015-09-29 |
| 1639557846 | Flow Acupuncture & Apothecary | Clinic/Center | 1390 S 1100 E Ste 110, Salt Lake City, UT 84105-2463 | 2015-05-08 |
| 1073805289 | Spine and Muscular Rehabilitation Chiropractic Pllc | Clinic/Center | 1634 N Main St, North Logan, UT 84341-1920 | 2011-05-05 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 84332 |
Please comment or provide details below to improve the information on RICHARD T STEVENS, MD, PC.
| 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.