MARK T STEVENS (NPI# 1760499669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760499669 |
| Entity Type | Individual |
| Full Name | MARK T STEVENS |
| Credential | M.D. |
| Practice Address |
10706 Wynkoop Dr Great Falls VA 22066-1606 |
| Practice Telephone | 7032829468 |
| Mailing Telephone | 7032829468 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
0101257868 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE | 23419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654811 | Mark Michael Stevens Jr. | Registered Nurse | 524 N 65th St, Milwaukee, WI 53213-4054 | 2019-11-27 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1336672252 | Mark Stevens | Counselor | 2501 Charlestown Ave, Toledo, OH 43613-4327 | 2017-04-07 |
| 1649589607 | Mark Daniel Stevens | Counselor | 11 S Morgan Rd, Tuttle, OK 73089-8603 | 2010-09-24 |
| 1013145531 | Mark Joseph Stevens | Family Medicine | 7123 Prospect Pl Ne, Albuquerque, NM 87110-4313 | 2009-06-23 |
| 1437329679 | Mark Stevens | Massage Therapist | 1288 Sw 21st St, Boca Raton, FL 33486-6645 | 2008-03-04 |
| 1861527160 | Mark Curtis Stevens | Dentist | 460 2nd Ave, Suite 8b, New York, NY 10016 | 2007-02-23 |
| 1770504953 | Mark H Stevens | Surgery | 324 10th Ave Ste 112, Salt Lake City, UT 84103-2873 | 2006-07-22 |
| 1043287972 | Mark Stevens | Chiropractor | 327 Douglas Ave, Yankton, SD 57078-4339 | 2006-02-28 |
| 1427033786 | Mark L Stevens | Family Medicine | 501 E Colorado St, Victoria, TX 77901-6025 | 2005-12-09 |
| Street Address |
10706 WYNKOOP DR |
| City | GREAT FALLS |
| State | VA |
| Zip Code | 22066-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291256 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1020 Seneca Road, Great Falls, VA 22066 | 2018-07-10 |
| 1427408020 | Brightview Great Falls, LLC | Alzheimer Center (Dementia Center) | 10200 Colvin Run Road, Great Falls, VA 22066 | 2016-06-15 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1114214582 | Sarah E Bellman | Physical Therapist | 766 Walker Rd Ste B, Great Falls, VA 22066 | 2011-07-06 |
| 1700178316 | Farzad Davoudian | Psychiatry & Neurology | 1025 Riva Ridge Dr, Great Falls, VA 22066 | 2011-05-15 |
| 1407162019 | William E Bylund | Emergency Medicine | 327 Canterwood Ln, Great Falls, VA 22066 | 2010-08-20 |
| 1043465974 | Austin Leigh Giunta Churchill | Physical Medicine & Rehabilitation | 746 Walker Rd Ste 12, Great Falls, VA 22066 | 2008-11-19 |
| 1295906766 | Hwi Y Suh | Psychiatry & Neurology | 9811 Thunderhill Ct, Great Falls, VA 22066 | 2008-03-12 |
| 1033244249 | Nahid Ghassemi | Nursing Facility/Intermediate Care Facility | 10130b Colvin Run Rd., Great Falls, VA 22066 | 2007-02-21 |
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| Find all providers in zip 22066 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487001475 | Ideal Option, Pllc | Family Medicine | 1601 2nd Ave N Ste 300w, Great Falls, MT 59401-3243 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177590 | Appalachian Counseling and Medical, LLC | Family Medicine | 142 Mall Church Rd, Cedar Bluff, VA 24609-7081 | 2020-06-04 |
| 1699397786 | Care Connect Behavioral Health, LLC | Family Medicine | 3520 High St Ste 100, Portsmouth, VA 23707-3126 | 2020-05-12 |
| 1083252704 | Kimberly Albero | Family Medicine | 1801 Wickham Pl, Charlottesville, VA 22901-9235 | 2019-12-12 |
| 1154898997 | Regional Health Providers LLC | Family Medicine | 3917 Old Lee Hwy Ste 11d, Fairfax, VA 22030-2431 | 2018-10-30 |
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
| 1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
| 1083146302 | Affinity Healthcare Group Franklin LLC | Family Medicine | 6806 Forest Lake Ct, Suffolk, VA 23435-2935 | 2017-03-28 |
| 1437699766 | Affinity Healthcare Group Newport News, LLC | Family Medicine | 6000 Jefferson Ave, #b, Newport News, VA 23605-3266 | 2017-03-06 |
| 1952852261 | Watauga Recovery Center Wytheville | Family Medicine | 255 Holston Rd, Wytheville, VA 04382-4448 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 22066 |
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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.