DR. KENT A STEVENS (NPI# 1568587293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568587293 |
| Entity Type | Individual |
| Full Name | DR. KENT A STEVENS |
| Credential | MD |
| Practice Address |
2435 W Belvedere Ave Suite 42 Baltimore MD 21215-5224 |
| Mailing Address |
2401 W Belvedere Ave Dept. of Credentialing Baltimore MD 21215-5216 |
| Practice Telephone | 4106015547 |
| Practice Fax Number | 4106015835 |
| Mailing Telephone | 4106015524 |
| Mailing Fax Number | 4106018946 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D65426 | MD | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
D65426 | MD | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
D65426 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE R/R GROUP # | CC1923 | 01 |
| MD | MEDICARE R/R PROVIDER # | P00464112 | 01 |
| Street Address |
2435 W BELVEDERE AVE SUITE 42 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1295263895 | Rasha Shahin | Internal Medicine | 2435 W Belvedere Ave, Baltimore, MD 21215-5224 | 2017-05-25 |
| 1710410501 | Matthew Goldfarb | Student in an Organized Health Care Education/Training Program | 2435 W Belvedere Ave, Hoffberger Building Suite 42, Baltimore, MD 21215 | 2017-04-07 |
| 1902345317 | Therese D'ambrosio | Physician Assistant | 2435 W Belvedere Ave, Hoffberger Suite 42, Baltimore, MD 21215-5224 | 2017-02-17 |
| 1912391004 | Natalia Feigin | Nurse Practitioner | 2435 W Belvedere Ave, Suite/21, Baltimore, MD 21215-5224 | 2015-03-26 |
| 1912348889 | Kornelija Colovic | Internal Medicine | 2435 W Belvedere Ave, Baltimore, MD 21215-5224 | 2013-07-08 |
| 1508108879 | Sinai Hospital of Baltimore, Inc | Psychiatry & Neurology | 2435 W Belvedere Ave, Suite 32, Baltimore, MD 21215-5224 | 2013-03-25 |
| 1144561044 | Xueying Xu | Physician Assistant | 2435 W Belvedere Ave, Suite 22, Baltimore, MD 21215-5224 | 2013-03-04 |
| 1033457569 | Lynetris Y Williams | Nurse Practitioner | 2435 W Belvedere Ave, Suite 22, Baltimore, MD 21215-5224 | 2013-01-17 |
| 1629362504 | Eyoatam Abebe | Physician Assistant | 2435 W Belvedere Ave, Suite 56, Baltimore, MD 21215-5224 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| 1477895266 | Anna Liveris | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201 | 2013-03-20 |
| 1538411657 | Sidney S. Mir | Surgery | 7905 Ellenham Ave, Baltimore, MD 21204-3523 | 2012-10-12 |
| 1285980854 | Noeline Rajarajan I | Surgery | 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 | 2012-08-01 |
| 1043565401 | Ouseph Janso Padickakudi | Surgery | 600 N. Wolfe Street, 655 Blalock, Johns Hopkins Hospital, Department of Surgery, Baltimore, MD 21287 | 2012-07-20 |
| 1770844888 | Mohammed Asif | Surgery | 4940 Eastern Ave # P34-13, Baltimore, MD 21224 | 2012-06-05 |
| 1285994020 | William Robert Leeper | Surgery | 1800 Orleans Street, Sheik Zayed Tower, Suite 6107, Baltimore, MD 21287 | 2012-05-28 |
| Find all providers in BALTIMORE | ||||
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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.