DR. STACY STEVENS (NPI# 1407823461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407823461 |
| Entity Type | Individual |
| Full Name | DR. STACY STEVENS |
| Credential | MD |
| Practice Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Mailing Address |
8000 W 110th St Ste 150 Overland Park KS 66210-2382 |
| Practice Telephone | 9133177678 |
| Mailing Telephone | 9135996777 |
| Mailing Fax Number | 9135993955 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
04-31155 | KS | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2005003652 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | P000218068 | 01 |
| KS | RAILROAD MEDICARE | P00238173 | 01 |
| KS | 200327540C | 05 | |
| BCBS | 35279019 | 01 | |
| MO | RAILROAD MEDICARE | P00238174 | 01 |
| KS | 200327540B | 05 | |
| MO | 207207606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003212531 | Stacy Stevens | Counselor | 2320 Long St, Flatwoods, KY 41139-2146 | 2014-11-11 |
| 1972931525 | Stacy Stevens | Social Worker | 1508 Greenup Ave Ste 1, Ashland, KY 41101-7614 | 2013-10-17 |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231158 | Charles L Gerwick | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2005-08-02 |
| 1548861537 | Erin Elizabeth Gillitzer | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-11-05 |
| 1245830496 | Alexandrea Ann Young | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-10-27 |
| 1952933822 | Samantha Boice | Physician Assistant | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-02-10 |
| 1659902880 | Barbara Diann Kelly | Nurse Practitioner | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-27 |
| 1023657574 | Elhonei K Alemu | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-02 |
| 1447800131 | Advanced Radiology Consultants of Kansas City, Pa | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-09-16 |
| 1336601335 | Saint Luke's South Hospital Inc. | Hospitalist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-04-01 |
| 1871009068 | Sharlene Marie Clary | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-12-25 |
| 1295253458 | Megan Kathleen Hartman | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346783008 | Saint Luke's Neighborhood Clinics, LLC | Radiology | 4061 Indian Creek Pkwy Ste 110, Overland Park, KS 66207-4030 | 2016-11-29 |
| 1528216090 | Jeffrey Tsai | Radiology | 6800 W. 138th Terrace, Apt 911, Overland Park, KS 66223-7816 | 2008-09-08 |
| 1992926406 | Christopher Mckinney | Radiology | 6650 W 110th St Ste 100, Overland Park, KS 66211 | 2007-05-01 |
| 1962543512 | Shawnee Mission Open Mri, LLC | Radiology | 8877 W 75th St, Overland Park, KS 66204-2206 | 2007-02-08 |
| 1720135114 | Johnson County Imaging Center, Inc | Radiology | 11717 W 112th St, Overland Park, KS 66210-2761 | 2007-01-05 |
| 1922012574 | Thomas P Sweeney | Radiology | 4801 W 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-28 |
| 1467466029 | Jay I Rozen | Radiology | 4801 West 100th Street, Suite 100, Overland Park, KS 66211 | 2006-07-28 |
| 1821012253 | Graham K Lee | Radiology | 4801 W 110th St, Ste 100, Overland Park, KS 66211-1347 | 2006-07-27 |
| 1619994381 | Donald R Germann | Radiology | 4801 West 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-17 |
| 1992768683 | Regional Imaging, LLC | Radiology | 8000 College Blvd, Overland Park, KS 66210-1822 | 2006-04-11 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.