DR. MICHAEL SHANE STEVENSON (NPI# 1700822020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700822020 |
Entity Type | Individual |
Full Name | DR. MICHAEL SHANE STEVENSON |
Credential | DMD, MD |
Practice Address |
1401 Stratford Rd Se Decatur AL 35601-6022 |
Practice Telephone | 2563551242 |
Practice Fax Number | 2563551259 |
Mailing Telephone | 2563551242 |
Mailing Fax Number | 2563551259 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2009-10-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5063 | AL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124448030 | Michael Stevenson | Specialist/Technologist | 1444 Lawnridge St, Medford, OR 97504-6248 | 2014-04-17 |
1124377007 | Michael Todd Stevenson | Specialist/Technologist | 126 Carnegie Loop, Meridianville, AL 35759-1647 | 2012-09-06 |
1841329331 | Michael K Stevenson | Physical Therapist | 160 W Cardinal Way, Chandler, AZ 85248-3333 | 2007-03-02 |
1922140078 | Michael D Stevenson | Optometrist | 555 E Cypress Ave, Redding, CA 96002-0105 | 2007-02-13 |
1437750270 | Michael Stevenson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-11-06 |
1922630318 | Michael Anthony Stevenson | Chiropractor | 4900 Bagby Ave Apt 602, Waco, TX 76711-0022 | 2020-02-04 |
1700425105 | Michael Scott Stevenson | Pharmacist | 142 S 52nd St, Philadelphia, PA 19139-3409 | 2020-01-02 |
1275948929 | Michael Robert Stevenson | Registered Nurse | One Hospital Dr, Columbia, MO 65212-0001 | 2014-06-20 |
1639430853 | Michael Garrick Stevenson | Physician Assistant | 201 Gumwood Dr, Smithfield, VA 23430-6086 | 2012-06-05 |
1568768984 | Michael Stevenson | Behavioral Analyst | 237 Race St, San Jose, CA 95126-4823 | 2011-02-02 |
Street Address |
1401 STRATFORD RD SE |
City | DECATUR |
State | AL |
Zip Code | 35601-6022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700975554 | M Shane Stevenson Dmd, Md Oral and Maxillofacial Surgery, PC | Dentist | 1401 Stratford Rd Se, Decatur, AL 35601-6022 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
Find all providers in zip 35601 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396991899 | Sam Enoch Pruett Jr. | Dentist | 2816 Bunny Ln Sw, Decatur, AL 35603-4250 | 2008-08-15 |
1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
1255543161 | William Floyd Littlejohn Jr. | Dentist | 2023 Danville Park Dr Sw, Decatur, AL 35603-1833 | 2007-05-04 |
1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
1922056282 | Leroy Loving Jr. | Dentist | 2352 Candler Rd, Decatur, GA 30032-6406 | 2006-05-05 |
1215164124 | Jennifer Dawn Okhiria | Dentist | 200 E Ponce De Leon Ave, Decatur, GA 30030 | 2009-06-18 |
1477711786 | Georgia Oral Surgery | Dentist | 755 Commerce Dr, Suite A, Decatur, GA 30030-2627 | 2008-05-23 |
1558498295 | John Howard Muse | Dentist | 755 Commerce Dr, Suite A, Decatur, GA 30030-2627 | 2007-02-28 |
1831257120 | Gillian C Jones | Dentist | 200 E Ponce De Leon Ave, Ste 300, Decatur, GA 30030-3469 | 2006-12-05 |
1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
Find all providers in DECATUR |
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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.