MR. MARC J STEVENS (NPI# 1477644722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477644722 |
| Entity Type | Individual |
| Full Name | MR. MARC J STEVENS |
| Practice Address |
4500 Stuart St Moncrief Army Community Hospital/credentials Columbia SC 29207-5700 |
| Mailing Address |
219 Ashley Place Rd Columbia SC 29229-9627 |
| Practice Telephone | 8037512618 |
| Practice Fax Number | 8037512689 |
| Mailing Telephone | 8032344416 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | LD00002104 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851703151 | Marc A. Stevens | Physician Assistant | 301 Prospect Avenue, Suite 804, Syracuse, NY 13203 | 2014-05-21 |
| 1861487605 | Marc Sheldon Stevens | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2005-09-19 |
| Street Address |
4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29207-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505231 | Christopher Michael Enke | Occupational Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2020-10-09 |
| 1366071144 | Kaitlin Chrastek | Specialist/Technologist | 4500 Stuart St, Columbia, SC 29207-5700 | 2020-04-03 |
| 1316582455 | Melissa Angela Metivier | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2019-11-13 |
| 1952954695 | Jeriann Sandrik | Optometrist | 4500 Stuart St, Columbia, SC 29207 | 2019-07-22 |
| 1669946455 | Tonya Yvette Parks | Counselor | 4500 Stuart St, Columbia, SC 29207-5700 | 2019-01-15 |
| 1538653795 | Jennifer L Willard | Licensed Practical Nurse | 4500 Stuart St, Columbia, SC 29207-5700 | 2018-06-20 |
| 1114469475 | Carrie Elizabeth Green | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-11-17 |
| 1841640489 | Daniel Greathouse | Optometrist | 4500 Stuart St, 3rd Floor Clinic Wing, Columbia, SC 29207-5700 | 2016-06-14 |
| 1356796205 | Rajesh Devkota | Nurse Practitioner | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-04-28 |
| 1114385770 | Garry Dredge | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053325621 | Ellen Florence Boudreau | Military Health Care Provider | 6405 Cardinal Ln, Columbia, MD 21044-4020 | 2006-07-28 |
| 1518498443 | Samantha Panuski | Military Health Care Provider | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-03-22 |
| 1568500676 | Buffy Howard | Military Health Care Provider | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2007-02-01 |
| 1912095423 | Paul Sanders | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-10-10 |
| 1679673156 | Sejal Patel | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-09-24 |
| 1346346624 | Juliana Infante Galang | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital Att: Mcxl-pq, Columbia, SC 29207-5700 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625019 | Byron Barbour | Military Health Care Provider | 670 Boulevard De France, Parris Island, SC 29905 | 2020-09-24 |
| 1174057947 | Christopher Gregory Topping | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902 | 2017-04-18 |
| 1619354040 | William S Magin | Military Health Care Provider | 598 Geiger Blvd, Marine Corps Air Station Beaufort, Beaufort, SC 29904 | 2015-05-06 |
| 1134405830 | John Conway | Military Health Care Provider | 203 West Main Street, Suite E-1, Lexington, SC 29072-9494 | 2011-10-25 |
| 1922079433 | Josefa Mundo | Military Health Care Provider | 3600 Rivers Ave, Box 487 Navhosp, North Charleston, SC 29405-7747 | 2006-02-01 |
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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.