MICHAEL GARRICK STEVENSON (NPI# 1639430853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639430853 |
| Entity Type | Individual |
| Full Name | MICHAEL GARRICK STEVENSON |
| Credential | PA |
| Practice Address |
201 Gumwood Dr Smithfield VA 23430-6086 |
| Practice Telephone | 7573573331 |
| Practice Fax Number | 7573576635 |
| Mailing Telephone | 7573573331 |
| Mailing Fax Number | 7573576635 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2013-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003908 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124448030 | Michael Stevenson | Specialist/Technologist | 1444 Lawnridge St, Medford, OR 97504-6248 | 2014-04-17 |
| 1124377007 | Michael Todd Stevenson | Specialist/Technologist | 126 Carnegie Loop, Meridianville, AL 35759-1647 | 2012-09-06 |
| 1841329331 | Michael K Stevenson | Physical Therapist | 160 W Cardinal Way, Chandler, AZ 85248-3333 | 2007-03-02 |
| 1922140078 | Michael D Stevenson | Optometrist | 555 E Cypress Ave, Redding, CA 96002-0105 | 2007-02-13 |
| 1700822020 | Michael Shane Stevenson | Dentist | 1401 Stratford Rd Se, Decatur, AL 35601-6022 | 2006-06-22 |
| 1437750270 | Michael Stevenson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-11-06 |
| 1922630318 | Michael Anthony Stevenson | Chiropractor | 4900 Bagby Ave Apt 602, Waco, TX 76711-0022 | 2020-02-04 |
| 1700425105 | Michael Scott Stevenson | Pharmacist | 142 S 52nd St, Philadelphia, PA 19139-3409 | 2020-01-02 |
| 1275948929 | Michael Robert Stevenson | Registered Nurse | One Hospital Dr, Columbia, MO 65212-0001 | 2014-06-20 |
| 1568768984 | Michael Stevenson | Behavioral Analyst | 237 Race St, San Jose, CA 95126-4823 | 2011-02-02 |
| Street Address |
201 GUMWOOD DR |
| City | SMITHFIELD |
| State | VA |
| Zip Code | 23430-6086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558342733 | Shannon M Pope | Internal Medicine | 201 Gumwood Dr, Smithfield, VA 23430-6086 | 2005-11-07 |
| 1508940180 | Family Medical Care of Smithfield Plc | Internal Medicine | 201 Gumwood Dr, Smithfield, VA 23430-6086 | 2006-10-24 |
| 1689655565 | Thomas C Pope | Pediatrics | 201 Gumwood Dr, Smithfield, VA 23430-6086 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480884 | Tamara Waller | Physical Therapist | 107 Sunrise Bluff Ct, Smithfield, VA 23430 | 2019-10-29 |
| 1154729705 | Americare Plus, LLC. | In Home Supportive Care | 938 D South Church Street, Smithfield, VA 23430 | 2014-12-15 |
| 1275705196 | Isle of Wight Family Practice, LLC | Nurse Practitioner | 1807 South Church Street, Suite 200 C, Smithfield, VA 23430 | 2008-04-01 |
| 1467527945 | Dr Barry Van Orman Dds PC | Dentist | 225 Battery Park Rd, Smithfield, VA 23430 | 2006-11-21 |
| 1912083999 | Jennifer Farris Howard | Dentist | 200 Gumwood Dr., Smithfield, VA 23430 | 2006-10-31 |
| 1790289551 | Margaret Maria Furman-juda | Occupational Therapist | 820 West Main St, Special Education Department, Smithfield, VA 23430-1034 | 2018-03-19 |
| 1285710285 | Isle of Wight County Schools | Local Education Agency (LEA) | 820 West Main Street, Smithfield, VA 23430-1034 | 2006-10-31 |
| 1326535584 | Wanda Griffin Pascucci | Speech-Language Pathologist | 800 W Main St, Smithfield, VA 23430-1034 | 2018-04-13 |
| 1639383987 | Beth Ann Brant | Speech-Language Pathologist | 820 W Main St, Smithfield, VA 23430-1034 | 2007-05-09 |
| 1831361419 | Isle of Wight Family and Cosmetic Dentistry, P.C. | Dentist | 200 Gumwood Dr., Building 1, Smithfield, VA 23430-1103 | 2008-03-24 |
| Find all providers in zip 23430 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871647412 | Victoria Lynn Harris | Physician Assistant | 388 Venture Dr, Suite I, Smithfield, NC 27577-4775 | 2007-01-22 |
| 1851321574 | Michael David Rua | Physician Assistant | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478 | 2006-07-05 |
| 1790261147 | Cynthia Kalina Kurosky | Physician Assistant | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478-1650 | 2018-07-18 |
| 1245748946 | Avni Garg | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-16 |
| 1952769788 | Diana Walker | Physician Assistant | 388 Venture Dr Ste I, Smithfield, NC 27577-4775 | 2016-02-08 |
| 1174903538 | Stephanie Pritchett | Physician Assistant | 707 Lassiter St, Smithfield, NC 27577-4613 | 2015-06-01 |
| 1457749483 | Seth Pattan | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2014-12-29 |
| 1609273218 | Mary Joseph | Physician Assistant | 2160 Springhill Furnace Rd, Smithfield, PA 15478-1428 | 2014-11-25 |
| 1043613839 | Rachel Serrano | Physician Assistant | 1519 E Booker Dairy Rd, Suite A, Smithfield, NC 27577-9472 | 2014-10-07 |
| 1235477324 | Laura Elizabeth Smith | Physician Assistant | 388 Venture Dr Ste I, Smithfield, NC 27577-4775 | 2013-01-23 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 23430 |
Please comment or provide details below to improve the information on MICHAEL GARRICK STEVENSON.
| 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.