MYRTLE OLIVIA STEPHENS (NPI# 1598775330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598775330 |
| Entity Type | Individual |
| Full Name | MYRTLE OLIVIA STEPHENS |
| Credential | P.A. |
| Practice Address |
117 Mohawk St Mobile AL 36606-1941 |
| Practice Telephone | 2514762556 |
| Practice Fax Number | 2513788778 |
| Mailing Telephone | 2514762556 |
| Mailing Fax Number | 2513788778 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-407 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
117 MOHAWK ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 1588291785 | Lakendra Chevoyn Wiley | Physician Assistant | 320 Stanton Rd Apt 235, Mobile, AL 36617-2449 | 2020-03-26 |
| 1053958785 | Courtney Teal Schmerbauch | Physician Assistant | 3715 Dauphin St Ste 1100, Mobile, AL 36608-1785 | 2019-12-02 |
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1699296145 | Jessica A Kantrales | Physician Assistant | 101 Memorial Hospital Dr Ste 200, Mobile, AL 36608-1787 | 2017-07-05 |
| 1730572835 | Allison Hinson | Physician Assistant | 600 Clinic Dr Ste 332, Mobile, AL 36688-0001 | 2015-03-13 |
| 1467701474 | Angela Dugger | Physician Assistant | 610 Providence Park Dr E Ste 102, Mobile, AL 36695-4618 | 2012-09-05 |
| 1063488153 | Diane Dixon Abercrombie | Physician Assistant | 307 University Blvd., Hsb Suite 1200, Mobile, AL 36688-0001 | 2006-02-27 |
| 1639179898 | Gregory A Sharp | Physician Assistant | 580 Providence Park Dr E Fl 2, Mobile, AL 36695-4614 | 2005-07-28 |
| Find all providers in MOBILE | ||||
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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.