TIMOTHY ROGER STEVENS (NPI# 1417201419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417201419 |
Entity Type | Individual |
Full Name | TIMOTHY ROGER STEVENS |
Credential | PA-C |
Practice Address |
1075 S Hwy 89 Mt Pleasant UT 84647 |
Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604 |
Practice Telephone | 4354622044 |
Practice Fax Number | 4354622043 |
Mailing Telephone | 8013548225 |
Mailing Fax Number | 8014180941 |
Enumeration Date | 2012-10-30 |
Last Update Date | 2020-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
9144918-8906 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9144918-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
65 E 100 N, Gunnison, UT 84634 | 4355282130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164416731 | Timothy Stevens | Dentist | 1745 S Imperial Ave Ste 107, El Centro, CA 92243-4243 | 2005-09-09 |
1407480445 | Timothy Craig Stevens | Pharmacist | 419 S Palestine St, Athens, TX 75751-2511 | 2020-02-28 |
1538704788 | Timothy Stevens | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2019-11-12 |
1205397924 | Timothy Shea Stevens | Pharmacist | 1381 Westgate Center Dr, Winston Salem, NC 27103-2934 | 2019-03-26 |
1669851127 | Timothy Gage Stevens | Counselor | 140 High St, Suite 230, Springfield, MA 01105-1442 | 2015-05-29 |
1669890208 | Timothy Alan Stevens | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2014-04-01 |
1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
1710108113 | Timothy J Stevens | Internal Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2007-05-01 |
1528070612 | Timothy P Stevens | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-08-13 |
Street Address |
1075 S HWY 89 |
City | MT PLEASANT |
State | UT |
Zip Code | 84647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295266559 | Aspiro Adventure LLC | Substance Abuse Rehabilitation Facility | 695 W Wakara Ave, Mt Pleasant, UT 84647 | 2017-03-27 |
1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
1780056655 | Linda Dimmick | Registered Nurse | 265 North State Street, Mount Pleasant, UT 84647 | 2015-10-30 |
1477819878 | Mt Pleasant Campus | Substance Abuse Rehabilitation Facility | 1170 South 70 West, Mt. Pleasant, UT 84647 | 2012-04-10 |
1700946589 | Jan Christer Jonson | Physician Assistant | 1125 Blackhawk Blvd, Central Utah Clinic Family Medicine, Mt Pleasant, UT 84647 | 2006-12-11 |
1154411601 | Abc Enterprises I, LLC | Pharmacy | 1050 South Medical Drive Suite B, Mt. Pleasant, UT 84647 | 2006-10-13 |
1518908110 | Allen M Day | Family Medicine | 1075 S Highway 89, Mt Pleasant, UT 84647 | 2006-06-08 |
1396790465 | Steve Houston Meek | Nurse Anesthetist, Certified Registered | 1100 South Medical Dr, Mt Pleasant, UT 84647 | 2006-05-24 |
1770823361 | Eric Randall Jones | Obstetrics & Gynecology | 1100 S Medical Dr, Mount Pleasant, UT 84647 | 2013-02-19 |
1962746453 | Cristofer N Urlaub | Counselor | 18750 N 6750 E, Mt Pleasant, UT 84647 | 2012-11-21 |
Find all providers in zip 84647 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
1487926168 | Heather Marie Patterson | Physician Assistant | 828 West Main St, Mt Pleasant, PA 15666 | 2012-01-27 |
1023111275 | Michael T Fillenworth | Physician Assistant | 2591 South Leaton Rd, Mt Pleasant, MI 48858 | 2006-09-06 |
1811944168 | Marilyn P Mcginty | Physician Assistant | 1629 E High St, Mt Pleasant, MI 48858-8409 | 2006-05-30 |
1023075215 | Allan R Riggs | Physician Assistant | 600 East Preston, Cmu Health Services, Foust Hall 108, Mt Pleasant, MI 48859-0001 | 2006-05-01 |
1427028034 | Lara H Blosser | Physician Assistant | 508 S Church St, Mt Pleasant, PA 15666-1702 | 2006-01-25 |
1699753244 | Maureen L George | Physician Assistant | 828 W Main St, Mt Pleasant, PA 15666-1730 | 2006-01-04 |
1316594609 | Kaitlin Roper | Physician Assistant | 913 Bowman Rd, Mt Pleasant, SC 29464-3235 | 2019-08-21 |
1558831420 | Jacob P Crawford | Physician Assistant | 508 S Church St, Mt Pleasant, PA 15666-1702 | 2018-12-04 |
1750711701 | Meghan Nix | Physician Assistant | 1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464-4183 | 2013-11-12 |
Find all providers in MT PLEASANT |
City | MT PLEASANT |
Zip Code | 84647 |
Please comment or provide details below to improve the information on TIMOTHY ROGER STEVENS.
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.