DR. AMANDA JEAN STEVENS-UDEZE (NPI# 1225324841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225324841 |
Entity Type | Individual |
Full Name | DR. AMANDA JEAN STEVENS-UDEZE |
Other Name | AMANDA STEVENS |
Credential | D.O. |
Practice Address |
2705 N Lebanon St Ste 265 Lebanon IN 46052-8621 |
Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
Practice Telephone | 7654858830 |
Practice Fax Number | 7654858789 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2020-04-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
02004864A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201121870 | 05 |
Street Address |
2705 N LEBANON ST STE 265 |
City | LEBANON |
State | IN |
Zip Code | 46052-8621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588661409 | Mark J Janicki | Psychiatry & Neurology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2005-07-07 |
1790075851 | Zachary Nathan Gordon | Urology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052 | 2011-04-11 |
1306167424 | Chad H Meshberger | Psychiatry & Neurology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2010-06-14 |
1376869669 | Kevin Boone | Hospitalist | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2010-04-13 |
1598995086 | Adam Anthony Cieciuch | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2009-07-20 |
1396905782 | Tehniat Haider | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-06-10 |
1528226321 | Neha Shardul Gavin | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-05-28 |
1922169374 | Alex Kor | Podiatrist | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2006-12-12 |
1356307003 | Crystal L Jones | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2006-04-21 |
1740277466 | Thomas Ray Cartwright | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2005-09-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
Find all providers in zip 46052 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518347608 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2015-06-03 |
1073832564 | Sreenija Suryadevara | Internal Medicine | 1 Medical Center Dr, Dh Endocrinology, Lebanon, NH 03756-1000 | 2010-05-23 |
1982921805 | Benjamin Boh | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Endocrinology, Lebanon, NH 03756-1000 | 2010-05-02 |
1093964850 | Susan Yuditskaya | Internal Medicine | 1 Medical Center Dr, Dhmc - Endocrinology, Lebanon, NH 03756-1000 | 2008-09-16 |
1528226321 | Neha Shardul Gavin | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-05-28 |
1194991927 | Tharsan Sivakumar | Internal Medicine | One Medical Center Drive, Lebanon, NH 03756 | 2008-05-01 |
1073528758 | Richard J Comi | Internal Medicine | 1 Medical Center Dr, Dhmc - Department of Endocrinology, Lebanon, NH 03756-1000 | 2006-07-30 |
1134143969 | John Harvery Turco | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-26 |
1609890359 | Paul James Beisswenger | Internal Medicine | 1 Medical Center Dr, Dhmc - Dept of Endocrinology, Lebanon, NH 03756-1000 | 2006-07-26 |
1851311948 | William Bernard Kinlaw IIi | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-20 |
Find all providers in LEBANON |
Please comment or provide details below to improve the information on DR. AMANDA JEAN STEVENS-UDEZE.
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.