STEPHEN R STEPHENSON


Address: 1215 Pleasant St., Ste. 306, Des Moines, IA 50309-1453
Phone: 5152415926

STEPHEN R STEPHENSON (NPI# 1508850496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508850496
Entity Type Individual
Full Name STEPHEN R STEPHENSON
Credential MD
Practice Address 1215 Pleasant St.
Ste. 306
Des Moines
IA 50309-1453
Practice Telephone 5152415926
Practice Fax Number 5152415127
Mailing Telephone 5152415926
Mailing Fax Number 5152415127
Enumeration Date 2005-09-07
Last Update Date 2011-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
G31607 CA Allopathic & Osteopathic Physicians
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
35187 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE 175150045 01
IA 1508850496 05

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1215051115 Stephen Lake Stephenson Chiropractor 1250 Merry St, Augusta, GA 30904-3845 2007-03-17
1376561613 Stephen Stephenson Internal Medicine 1663 Campus Park Dr, Suite D, Monroe, NC 28112-5581 2006-07-17

Office Location

Street Address 1215 PLEASANT ST.
STE. 306
City DES MOINES
State IA
Zip Code 50309-1453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679565592 Carissa Schneider Nurse Practitioner 1215 Pleasant St., Suite 406, Des Moines, IA 50309-1453 2005-08-17
1992037931 Christopher Alan Rokes Pediatrics 1215 Pleasant St., Suite 306, Des Moines, IA 50309-1453 2010-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972126894 Marie Danielle Leblanc Surgery Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 2020-05-27
1538710421 Macy Mckendree Social Worker 918 Se 11th St., Des Moines, IA 50309 2019-09-23
1750938825 Paradocs Psychological Services Clinic/Center 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 2019-08-22
1003315011 Hyvacs, LLC Durable Medical Equipment & Medical Supplies 215 10th St Ste 110, Des Moines, IA 50309 2018-02-05
1770005746 Jacob Michael Boyle Chiropractor 500 Sw 7th St Ste 205, Des Moines, IA 50309 2017-07-12
1831646140 Innovative Transport Enterprise, LLC Non-emergency Medical Transport (VAN) 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 2016-09-02
1457807000 Patricia Bularzik Social Worker 808 5th Avenue, Des Moines, IA 50309 2016-09-01
1396128492 Sarah Lynn Cavan Social Worker 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 2015-07-07
1104204056 Andrea Lynn Jones Social Worker 600 E Court Ste 200, Des Moines, IA 50309 2015-05-12
1811388937 Matthew Zirretta Physical Therapist 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 2015-02-11
Find all providers in zip 50309

Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598812307 Wendy Woods-swafford Pediatrics 1215 Pleasent St., Ste. 306, Des Moines, IA 50309-1453 2007-01-04
1629050802 Naser J Al Zein Pediatrics 1215 Pleasant St, Suite 300, Des Moines, IA 50309-1416 2005-11-15
1114913985 Torrey L Mitchell Pediatrics 1215 Pleasant St, Suite 300, Des Moines, IA 50309-1416 2005-09-27
1710971478 Stephen C Elliott Pediatrics 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 2005-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508243700 Torin Waters Pediatrics 200 Hawkins Dr, Iowa City, IA 52242 2015-04-27
1013350289 Jamie M Truscott Pediatrics 200 Hawkins Dr, Iowa City, IA 52242 2013-04-08
1972739712 William Terry Iv Pediatrics 200 Hawkins Dr, 2520 Jcp, Iowa City, IA 52242-1009 2009-06-08
1619137247 Arunkumar Jagadishbhai Modi Pediatrics 200 Hawkins Dr, Dept of Pediatric Hematology/oncology, Iowa City, IA 52242-1009 2008-06-17
1336321330 David Jon Gordon Pediatrics 200 Hawkins Dr, Department of Pediatric Hematology/oncology, Iowa City, IA 52242-1009 2007-11-30
1194945691 Anjali A Sharathkumar Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2007-04-26
1376530485 Raymond Tannous Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-10-04
1689669376 M Sue Odorisio Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-09-19

Competitor

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City DES MOINES
Zip Code 50309

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Dataset Information

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.

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