KATHLEEN D STEPHENS (NPI# 1639168123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639168123 |
| Entity Type | Individual |
| Full Name | KATHLEEN D STEPHENS |
| Credential | M.D. |
| Practice Address |
14519 Detroit Ave Lakewood OH 44107-4316 |
| Mailing Address |
Po Box 951101 Cleveland OH 44193-0005 |
| Practice Telephone | 2165214200 |
| Mailing Telephone | 4408790081 |
| Mailing Fax Number | 4408790084 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35-045869 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000348268 | 01 |
| OH | 0560067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532439 | Kathleen Anne Stephens | Behavior Technician | 7710 Kings Passage Ave, Orlando, FL 32835-5953 | 2019-01-14 |
| 1750580957 | Kathleen Nancy Stephens | Chiropractor | 4930 Park Blvd, Suite 8, Pinellas Park, FL 33781 | 2007-07-17 |
| 1891910782 | Kathleen Drescher Stephens | Physical Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2007-04-16 |
| 1851363816 | Kathleen A Stephens | Social Worker | 101 W Kirkwood Ave, Suite 212, Bloomington, IN 47404 | 2006-02-03 |
| Street Address |
14519 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895493 | Umarani Ramachandran | Pediatrics | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2005-10-18 |
| 1831584804 | Michelle Palcsik | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-04-06 |
| 1114318029 | Jessica Schreiner | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-02-13 |
| 1932516424 | Beth Tibbitts | Social Worker | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-07-16 |
| 1811309461 | Jessica Bennett | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-29 |
| 1104238237 | Michelle Kellicker | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-23 |
| 1386056687 | Andrew Morgan Cluts | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-21 |
| 1558772103 | Tamara Hunt | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-16 |
| 1114338001 | Kristen Louise Gallo | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-13 |
| 1902216773 | Timothy Hirzel | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564125 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 217, Lakewood, CO 80227-5172 | 2020-03-23 |
| 1902432057 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 218, Lakewood, CO 80227-5172 | 2020-03-20 |
| 1518135920 | Thomas Edward Levy | Internal Medicine | 9645 W Dakota Ave, Lakewood, CO 80226-2722 | 2008-02-19 |
| 1144313768 | Hed Ahmadpour Md Facc, Inc | Internal Medicine | 3650 E South Street, Suite 110b, Lakewood, CA 90712-1502 | 2006-10-02 |
| 1376565507 | Rajesh Mohan | Internal Medicine | 101 Prospect Street, Suite 210, Lakewood, NJ 08701 | 2006-07-24 |
| 1093740151 | Irwin Roseff | Internal Medicine | One Route 70, Lakewood, NJ 08701 | 2006-07-11 |
| 1407886898 | German L Neri | Internal Medicine | 14601 Detroit Ave Ste 730, Lakewood, OH 44107-4251 | 2006-07-03 |
| 1467419366 | William L Madrid | Internal Medicine | 3650 South St Ste 310, Lakewood, CA 90712-1519 | 2006-04-26 |
| 1780649830 | Isaac Eisenstein | Internal Medicine | 3560 E. South St., #310, Lakewood, CA 90712 | 2006-04-20 |
| 1629032669 | James H Beckmann | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2006-04-14 |
| Find all providers in LAKEWOOD | ||||
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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.