DR. CAMILLE STEVENSON (NPI# 1659522472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659522472 |
| Entity Type | Individual |
| Full Name | DR. CAMILLE STEVENSON |
| Credential | MD |
| Practice Address |
1140 E 3900 S Suite 410 Salt Lake City UT 84124-1228 |
| Mailing Address |
Po Box 337 Suite 410 Layton UT 84041-0337 |
| Practice Telephone | 8012628666 |
| Practice Fax Number | 8012638821 |
| Mailing Telephone | 8017734840 |
| Mailing Fax Number | 8015258151 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 35088610 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1140 E 3900 S SUITE 410 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481162 | Timothy Robert Lapine | Pediatrics | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2005-07-18 |
| 1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
| 1568893279 | Lindsay Janke | Physician Assistant | 1140 E 3900 S, Ste 340, Salt Lake City, UT 84124-1228 | 2013-12-05 |
| 1841628666 | Robert Sylvester | Nurse Practitioner | 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 | 2013-10-15 |
| 1336584861 | Kristin May Brown | Physician Assistant | 1140 E 3900 S, Suite 410, Salt Lake City, UT 84124-1228 | 2013-05-10 |
| 1447593520 | Linh Ai Moran | Obstetrics & Gynecology | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2013-03-27 |
| 1548516172 | Megan Judkins | Genetic Counselor, MS | 1140 E 3900 S, St. Mark's Hospital, Salt Lake City, UT 84124-1228 | 2012-08-01 |
| 1457627507 | Obstetrix Medical Group of Utah, PC | Obstetrics & Gynecology | 1140 E 3900 S, Ste 390, Salt Lake City, UT 84124-1228 | 2012-03-22 |
| 1326328345 | Louis V Melini | Physician Assistant | 1140 E 3900 S, 360, Salt Lake City, UT 84124-1228 | 2011-08-22 |
| 1508155193 | Sean Frederick Edmunds | Obstetrics & Gynecology | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2011-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
| 1386088706 | Michelle Lynne Precourt Debbink | Obstetrics & Gynecology | 30 N 1900 E # 2a200, Salt Lake City, UT 84132-5000 | 2013-04-29 |
| 1427300938 | Nathan R Blue | Obstetrics & Gynecology | 30 N 1900 E # 2b200, Salt Lake City, UT 84132 | 2012-10-08 |
| 1417216516 | Robert Lee Dood | Obstetrics & Gynecology | University of Utah Health, Dept of Obgyn, 30 N 1900 E, Rm 2b200, Salt Lake City, UT 84132 | 2012-05-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.