JACOB PATRICK STEPHENSON (NPI# 1811254345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811254345 |
Entity Type | Individual |
Full Name | JACOB PATRICK STEPHENSON |
Credential | D.O. |
Practice Address |
2239 W Falconer Cir Farmington UT 84025-2905 |
Practice Telephone | 8016827183 |
Enumeration Date | 2012-04-22 |
Last Update Date | 2017-01-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 8841794-1204 | UT | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265411979 | Jacob T Stephenson | Surgery | 2221 Stockton Blvd, Dept of Surgery, Cypress Bldg Room 3104, Sacramento, CA 95817 | 2006-01-11 |
Street Address |
2239 W FALCONER CIR |
City | FARMINGTON |
State | UT |
Zip Code | 84025-2905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
Find all providers in zip 84025 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
1356513139 | Orr Medical Enterprises, Inc | General Practice | 608 Maple Valley Dr, Farmington, MO 63640-1976 | 2008-04-01 |
1861925356 | Steven Madsen | General Practice | 21 South Rd, Farmington, CT 06032-2482 | 2017-04-11 |
1215323183 | Alireza Shams | General Practice | 263 Farmington Ave, Farmington, CT 06030-1004 | 2015-04-08 |
1184037723 | Namita Akolkar | General Practice | 263 Farmington Ave, Farmington, CT 06030-3955 | 2014-06-10 |
1417263534 | George H Peacock Md PC | General Practice | 804 E Navajo St, Farmington, NM 87401-9119 | 2010-08-26 |
1336469592 | Sujit Michael Ray | General Practice | 76 Batterson Park Rd Ste 106, Farmington, CT 06032-2571 | 2010-06-10 |
1922326057 | Ashraf Mohammad | General Practice | 22821 Orchard Lake Rd, Farmington, MI 48336-3230 | 2010-05-13 |
1326114927 | Robert C. Orr | General Practice | 22821 Orchard Lake Rd, Farmington, MI 48336-3230 | 2006-11-27 |
1922016112 | Parkland Health Center | General Practice | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-08-03 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 84025 |
Please comment or provide details below to improve the information on JACOB PATRICK STEPHENSON.
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.