DR. MATTHEW DAVID STEPHEN (NPI# 1861572596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861572596 |
Entity Type | Individual |
Full Name | DR. MATTHEW DAVID STEPHEN |
Credential | M.D. |
Practice Address |
1901 Sw H K Dodgen Loop Bldg 300 Temple TX 76502-1814 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 2547245437 |
Practice Fax Number | 2547247597 |
Mailing Telephone | 2547248800 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-11-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | M4958 | TX | Allopathic & Osteopathic Physicians |
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
M4958 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629591383 | Matthew Jacob Stephen | Physician Assistant | 12 Shreve Ln, Lafayette, CA 94549-4066 | 2017-07-24 |
Street Address |
1901 SW H K DODGEN LOOP BLDG 300 |
City | TEMPLE |
State | TX |
Zip Code | 76502-1814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952361669 | Jerry Hall | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2006-03-25 |
1477091585 | Jessica F Jester | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2017-02-09 |
1770035941 | Toni Sorensen | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-11-03 |
1790138378 | Brittany Eichhorn | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 | 2016-07-19 |
1427408624 | Leah Gail Mathias | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-06-18 |
1407269277 | Sherline David | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-06-09 |
1023435278 | Aishwarya Raju | Psychiatry & Neurology | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-03-26 |
1487096947 | Larissa Lashelle Williams | Physician Assistant | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2013-07-25 |
1396004115 | Vanessa Marie Munoz Rivera | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2012-05-14 |
1558646349 | Nicholas William Mcgregor | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2011-10-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
Find all providers in zip 76502 |
Taxonomy Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396705463 | William P. Bryant | Pediatrics | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073912325 | Pediatric Endocrinology Clinic | Pediatrics | 4302 S Sugar Rd Ste 205, Edinburg, TX 78539-9140 | 2014-08-21 |
1215292875 | Amrita Anil Waingankar | Pediatrics | 7711 O Connor Dr Apt 2502, Round Rock, TX 78681 | 2012-07-10 |
1447554860 | Pediatric Endocrinology of Central Texas Pllc | Pediatrics | 1605a Redwood Road, San Marcos, TX 78666-1424 | 2010-12-28 |
1164757712 | Virginia Cortes Araiza | Pediatrics | 3701 W Alabama St Ste 350, Houston, TX 77027-5264 | 2009-10-14 |
1992952758 | Jose David Gamez | Pediatrics | 2821 Michaelangelo Dr Ste 102a, Edinburg, TX 78539-1411 | 2008-08-24 |
1639356108 | Farah Mehdi Khatoon | Pediatrics | 8611 N Mopac Expy, Austin, TX 78759-8319 | 2008-01-28 |
1730378456 | Vandana S Raman | Pediatrics | 6621 Fannin St # Cc102005, Suite 1020, Houston, TX 77030-2303 | 2007-10-18 |
1154544054 | Amy M. Burton | Pediatrics | 6124 W Parker Rd Ste 230, Plano, TX 75093-8124 | 2007-04-10 |
1295870459 | Southwestern Diabetic Physicians Association | Pediatrics | 10687 Fm 678, Whitesboro, TX 76273-4840 | 2007-02-21 |
1881776367 | Otto Velasquez Md Phd & Associates | Pediatrics | 5111 N 10th St # 281, Mcallen, TX 78504-2835 | 2006-10-20 |
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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.