FREDERICK STEPHENS II (NPI# 1306005988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306005988 |
| Entity Type | Individual |
| Full Name | FREDERICK STEPHENS II |
| Credential | M.D. |
| Practice Address |
Madigan Army Medical Ctr 9040 Jacskon Ave Tacoma WA 98431-0001 |
| Mailing Address |
Madigan Army Medical Ctr Neurosurgery Department Tacoma WA 98431-0001 |
| Practice Telephone | 2539681374 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 01057415A | IN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | MD60302866 | WA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | C54754 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 01057415A | IN | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 468451673 | 2604256780 | 2604256615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295022176 | Frederick Hodge Stephens | Social Worker | 2302 N Barker St, Lumberton, NC 28358-3626 | 2011-06-29 |
| Street Address |
MADIGAN ARMY MEDICAL CTR 9040 JACSKON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114954 | Larry E Witham | Physician Assistant | Madigan Army Medical Ctr, 9040a Reid Street, Tacoma, WA 98431-1100 | 2005-06-16 |
| 1417483512 | Carah Labrier | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Aveunue, Tacoma, WA 98431-0001 | 2017-05-10 |
| 1396270823 | Cherise Janen Hartman | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-21 |
| 1356876924 | Joseph Durso | Student in an Organized Health Care Education/Training Program | Madigan Army Medical Ctr, 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2017-04-20 |
| 1891228474 | Alfonso David Bernal-stevens | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-10 |
| 1730612573 | Tifani Mcgovern | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-04-08 |
| 1770024184 | Susan Marie Beale | Licensed Practical Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-17 |
| 1417498957 | Danielle Jones | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave. Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-16 |
| 1962943514 | Edwin Pampo | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-15 |
| 1497296578 | Margie Ayala | Technician, Pathology | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841219144 | Peter Brown | Neurological Surgery | 915 6th Ave Ste 200, Tacoma, WA 98405-4682 | 2006-07-18 |
| 1295796647 | Laura M Lynam | Neurological Surgery | 316 Martin Luther King Jr Way Ste 408, Tacoma, WA 98405-4261 | 2006-03-28 |
| 1144733668 | Caoilin Hoctor | Neurological Surgery | 1608 S J St Fl 5, Tacoma, WA 98405-4930 | 2017-11-06 |
| 1629363213 | Daniel J Coughlin | Neurological Surgery | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2011-06-13 |
| 1295027472 | Amilyn Mee Young Han Taplin | Neurological Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2011-05-06 |
| 1568691251 | Oanh Nguyen | Neurological Surgery | 1608 S J St, Tacoma, WA 98405-4930 | 2009-07-02 |
| 1619111853 | Ryan Patrick Brennan | Neurological Surgery | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2009-04-30 |
| 1689766255 | Anthony E Harris | Neurological Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405 | 2006-09-29 |
| 1023127727 | Christopher J Smythies | Neurological Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-08-29 |
| 1497766638 | Multicare Health System | Neurological Surgery | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2006-08-11 |
| Find all providers in TACOMA | ||||
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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.