RYAN MARK STEPHENSON


Address: 1055 N 300 W Ste 401, Provo, UT 84604-3306
Phone: 8013577499

RYAN MARK STEPHENSON (NPI# 1760800353) 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) 1760800353
Entity Type Individual
Full Name RYAN MARK STEPHENSON
Credential MD
Practice Address 1055 N 300 W Ste 401
Provo
UT 84604-3306
Mailing Address 5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631
Practice Telephone 8013577499
Practice Fax Number 8013735980
Enumeration Date 2014-04-01
Last Update Date 2020-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 11782944-1205 UT Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology A141602 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
10833 Le Conte Ave # Chs62132, Los Angeles, CA 900953075 3108252810
200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095 3102066688 3108252810

Other Providers RYAN STEPHENSON

NPI Name Taxonomy Address Enumeration
1548653850 Ryan Stephenson Otolaryngology 4190 City Avenue, Philadelphia College of Osteopathic Medicine, Philadelphia, PA 19131 2015-03-11
1427477918 Ryan D Stephenson Internal Medicine 195 Little Albany St, New Brunswick, NJ 08901-1914 2014-04-10
1790923449 Ryan O Stephenson Physical Medicine & Rehabilitation 1667 Saint Paul St, Denver, CO 80206-1614 2009-02-02

Office Location

Street Address 1055 N 300 W STE 401
City PROVO
State UT
Zip Code 84604-3306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467535138 Amanda G Lewis Nurse Practitioner 1055 N 300 W Ste 401, Provo, UT 84604-3306 2006-10-24
1891253456 Laura Savage Nurse Practitioner 1055 N 300 W Ste 401, Provo, UT 84604-3306 2019-03-03
1619383494 Sarah Anne Cordingley Audiologist 1055 N 300 W Ste 401, Provo, UT 84604-3306 2014-07-01
1346518867 Mary Elizabeth Marble Nurse Practitioner 1055 N 300 W Ste 401, Provo, UT 84604-3306 2011-12-12
1588976328 Jordan Carlton Schramm Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2010-07-09
1851506786 Seth A Riddle, M.d. P.C. Surgery 1055 N 300 W Ste 401, Provo, UT 84604-3306 2007-05-14
1326126772 Seth A Riddle, M.d., P.C. Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2006-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
Find all providers in zip 84604

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831390038 Ihc Health Services Inc Otolaryngology 395 W Bulldog Blvd Ste 501, Provo, UT 84604 2007-05-29
1972517043 I. William Nelson Otolaryngology 556 E 4020 N, Provo, UT 84604-5149 2006-07-27
1396741476 Kipp Moreno Robins Otolaryngology 1055 N 500 W Bldg A, Provo, UT 84604-3305 2005-06-23
1588976328 Jordan Carlton Schramm Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2010-07-09
1326115403 Matthew K. Money Otolaryngology 1157 N 300 W, Suite 301, Provo, UT 84604-6124 2006-11-30
1326126772 Seth A Riddle, M.d., P.C. Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2006-11-02
1396765871 Kirt Scott Beus Otolaryngology 1055 N 300 W, Suite 401, Provo, UT 84604-3306 2006-07-20
1598701955 Seth Allred Riddle Otolaryngology 1055 N 300 W, Suite 401, Provo, UT 84604-3344 2006-06-22
1942246756 Seth A Riddle Md PC Otolaryngology 1055 N 300 W, 401, Provo, UT 84604-3344 2006-06-21
1477510329 Scott Shipley Otolaryngology 1055 N 300 W, Suite 401, Provo, UT 84604-3344 2006-04-26
Find all providers in PROVO

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City PROVO
Zip Code 84604

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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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