CHARLES CLINTON STEPHENS (NPI# 1558706739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558706739 |
| Entity Type | Individual |
| Full Name | CHARLES CLINTON STEPHENS |
| Credential | M.D. |
| Practice Address |
7556 Hennessy Blvd Baton Rouge LA 70808-4339 |
| Practice Telephone | 2257574140 |
| Mailing Telephone | 2257574140 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346396405 | Charles Nolan Stephens | Chiropractor | 961 N. Columbia St., Milledgeville, GA 31061 | 2007-01-25 |
| 1801975511 | Charles M Stephens | Optometrist | 2501 S W S Young Dr, Suite 105, Killeen, TX 76542-2003 | 2006-11-03 |
| 1578562096 | Charles Randall Stephens | Nurse Practitioner | 1190 Main Street, Sumiton, AL 35148 | 2005-07-18 |
| 1023528833 | Charles Stephens | Behavioral Analyst | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2017-10-06 |
| 1588064224 | Charles Stephens IIi | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-08-31 |
| 1689922619 | Charles Oliver Stephens | Obstetrics & Gynecology | 3106 Hudnall Ln, Edgewood, KY 41017 | 2012-08-23 |
| 1215161013 | Charles K. Stephens | Behavioral Analyst | 128 North George Street, York, PA 17401-1117 | 2009-05-07 |
| 1154590487 | Charles Jay Stephens | Family Medicine | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2008-02-20 |
| 1245355361 | Charles Lucas Stephens | Psychologist | 11200 Lariat Way, Dodge City, KS 67801-7328 | 2007-03-20 |
| 1194873612 | Charles E Stephens | Pharmacist | 323 E Main St, Lebanon, TN 37087 | 2007-01-08 |
| Street Address |
7556 HENNESSY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639495385 | Craig Andrews | Emergency Medicine | 7556 Hennessy Blvd, Baton Rouge, LA 70808-4339 | 2010-04-20 |
| 1215315379 | Jeffrey Harper | Emergency Medicine | 7556 Hennessy Blvd, Baton Rouge, LA 70808-4339 | 2015-05-09 |
| 1710321641 | Justin Hayes | Student in an Organized Health Care Education/Training Program | 7556 Hennessy Blvd, Baton Rouge, LA 70808-4339 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953160 | Ryne Michael Smith | Student in an Organized Health Care Education/Training Program | 4124 Lake Limestone Ct, Baton Rouge, LA 70816-6409 | 2020-08-21 |
| 1649881251 | Adam Yarochowicz | Student in an Organized Health Care Education/Training Program | 1385 Crescent Dr, Baton Rouge, LA 70806-8612 | 2020-08-17 |
| 1487265021 | Annadora Janet Bruce-keller | Student in an Organized Health Care Education/Training Program | 6324 Morgan Bend Dr, Baton Rouge, LA 70820-2002 | 2020-08-16 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1235758939 | Nicole Ashley Lecoq | Student in an Organized Health Care Education/Training Program | 12636 E Sheraton Ave, Baton Rouge, LA 70815-6838 | 2020-04-13 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1477180487 | Samantha Steve Grigus | Student in an Organized Health Care Education/Training Program | 6224 Belle Grove Dr, Baton Rouge, LA 70820-5020 | 2020-03-27 |
| 1851928147 | Joel Byrne | Student in an Organized Health Care Education/Training Program | 5131 Odonovan Dr Fl 5, Baton Rouge, LA 70808-4791 | 2020-03-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on CHARLES CLINTON STEPHENS.
| 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.