ISHMAEL WORTH STEVENS JR. (NPI# 1033205448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033205448 |
| Entity Type | Individual |
| Full Name | ISHMAEL WORTH STEVENS JR. |
| Credential | MD |
| Practice Address |
700 13th St Ashland KY 41101 |
| Practice Telephone | 6063290204 |
| Practice Fax Number | 6063247770 |
| Mailing Telephone | 6063290204 |
| Mailing Fax Number | 6063247770 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35295 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | UNITED HEALTH CARE | 1200987 | 01 |
| KY | 65917544 | 05 | |
| KY | 64012503 | 05 | |
| WV | 6700603-000 | 05 | |
| KY | ANTHEM BC | 000000111530 | 01 |
| KY | BC SUPER BLUE PLUS | 336109752062214 | 01 |
| Street Address |
700 13TH ST |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144314659 | John Roger Potter | Pediatrics | 700 13th St, Ashland, KY 41101 | 2006-10-02 |
| 1609931658 | Ashland Children's Clinic | Pediatrics | 700 13th St, Ashland, KY 41101-2620 | 2006-12-27 |
| 1790870137 | Ann W Craig | Pediatrics | 700 13th St, Ashland, KY 41101 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1992970115 | Jonathan Ray Maynard | Pediatrics | 2301 Lexington Ave Ste 135, Ashland, KY 41101-2800 | 2008-04-29 |
| 1689883951 | Richard Allen Tripoli | Pediatrics | 690 Spring Creek Dr, Ashland, OR 97520-1455 | 2007-05-22 |
| 1063532190 | Kids and Company Pediatric Healthcare | Pediatrics | 9547 Kings Charter Dr, Ashland, VA 23005-7939 | 2007-03-30 |
| 1376663187 | Jason Ford | Pediatrics | 336 29th St Ste 201, Ashland, KY 41101-1932 | 2007-03-29 |
| 1245371772 | Hanover Pediatrics, Inc | Pediatrics | 10035 Sliding Hill Rd, Ashland, VA 23005-7953 | 2007-02-09 |
| 1144314659 | John Roger Potter | Pediatrics | 700 13th St, Ashland, KY 41101 | 2006-10-02 |
| 1346333614 | Arumugham Dakshinamurthi | Pediatrics | 2212 Mifflin Ave Ste 235, Ashland, OH 44805-8846 | 2006-10-01 |
| 1407861131 | Derry Ridgway | Pediatrics | 251 Maple St Ste B, Ashland, OR 97520-1516 | 2006-07-30 |
| 1427008614 | Ashland Pediatrics, PC | Pediatrics | 251 Maple St, Ashland, OR 97520-1516 | 2006-05-11 |
| Find all providers in ASHLAND | ||||
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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.