DR. WILLIS W STEVENSON III


Address: 2310 California Road, Elkhart, IN 46514-1228
Phone: 5742644163

DR. WILLIS W STEVENSON III (NPI# 1780736645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780736645
Entity Type Individual
Full Name DR. WILLIS W STEVENSON III
Credential MD
Practice Address 2310 California Road
Elkhart
IN 46514-1228
Practice Telephone 5742644163
Practice Fax Number 5742629650
Mailing Telephone 5742644163
Mailing Fax Number 5742629650
Enumeration Date 2007-01-18
Last Update Date 2010-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
01062348A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICAL LICENSE 01062348A 01
IN FEDERAL DEA BS9950999 01
IN 200847880 05

Office Location

Street Address 2310 CALIFORNIA ROAD
City ELKHART
State IN
Zip Code 46514-1228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740215326 Denise Friedli Physical Therapist 2310 California Road, Suite A, Elkhart, IN 46514-1228 2006-07-11
1366645178 Jonathan D Schrock Anesthesiology 2310 California Road, Elkhart, IN 46514-1228 2007-06-08
1396951117 John Mark Schramm Orthopaedic Surgery 2310 California Road, Elkhart, IN 46514-1228 2007-05-16
1528179199 Michelle R Martin Physical Therapist 2310 California Road, Elkhart, IN 46514-1228 2006-08-31
1588775779 Phillip J Rice Nurse Anesthetist, Certified Registered 2310 California Road, Suite A, Elkhart, IN 46514-1228 2006-08-31
1285645903 Gene W Grove Anesthesiology 2310 California Road, Elkhart, IN 46514-1228 2006-08-10
1023029741 Jason J Hix Family Medicine 2310 California Road, Elkhart, IN 46514-1228 2006-08-10
1174534895 David A Beatty Anesthesiology 2310 California Road, Elkhart, IN 46514-1228 2006-08-10
1205844214 Pamela Lynn Pfail Specialist/Technologist 2310 California Road, Elkhart, IN 46514-1228 2006-08-04
1053325589 Mark A Klaassen Orthopaedic Surgery 2310 California Road, Ste A, Elkhart, IN 46514-1228 2006-07-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891333522 Adam Collier Nurse Anesthetist, Certified Registered 600 Elkhart Boulvard, Elkhart, IN 46514 2019-12-12
1861034688 Heart City Health Center, Inc. Obstetrics & Gynecology 1545 Cassopolis Street, Elkhart, IN 46514 2019-10-14
1982263398 Fresenius Medical Care North Elkhart, LLC Clinic/Center 801 W Bristol St, Elkhart, IN 46514 2019-06-10
1487118220 Hellenic Senior Living of Elkhart, LLC Assisted Living Facility 2528 Bypass Road, Elkhart, IN 46514 2019-01-25
1922595792 Anna Cornelia Smith Nutritionist 51803 Tall Pines Dr, Elkhart, IN 46514 2018-04-17
1114438496 Erika Lynn Farrell Counselor 3120 Suite B Windsor Court, Elkhart, IN 46514 2017-10-13
1740728948 Michael Scheretie Nurse Anesthetist, Certified Registered 52866 Wildflower Ln, Elkhart, IN 46514 2017-02-08
1821355876 Marcy Lynn Adams Nurse Practitioner 1104 W Bristol St, Elkhart, IN 46514 2012-04-16
1053694265 Paul A. Price Pharmacist 1400 Cassopolis St., Elkhart, IN 46514 2011-09-23
1528362647 Beacon Medical Group, Inc. Internal Medicine 500 Arcade Ave., Suite 400, Elkhart, IN 46514 2011-01-04
Find all providers in zip 46514

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235404526 Eric Philip Tannenbaum Orthopaedic Surgery 940 N Marr Rd Ste C, Columbus, IN 47201 2012-03-20
1326213109 Steven K Ahlfeld Md, PC Orthopaedic Surgery 9302 N Meridian St Ste 110, Indianapolis, IN 46260-1818 2008-04-23
1780707265 New Hope Orthopaedics and Sports Medicine PC Orthopaedic Surgery 325 Westfield Rd, Suite A, Noblesville, IN 46060-1497 2007-04-09
1740313071 Atlas Orthopedics & Sports Medicine Inc PC Orthopaedic Surgery 3660 Guion Rd Ste 230, Indianapolis, IN 46222-1691 2007-03-14
1780723122 Jeffrey S Staron Orthopaedic Surgery 8141 Calumet Ave Unit 1, Munster, IN 46321-1701 2007-02-05
1376622936 Lorin Merrill Brown Orthopaedic Surgery 1950 45th St Ste 200, Munster, IN 46321-3958 2006-11-03
1033214366 Rivercross Orthopaedics & Sports Medicine PC Orthopaedic Surgery 18051 River Ave Ste 100, Noblesville, IN 46062-7093 2006-09-13
1366489338 Dale S Snead Orthopaedic Surgery 201 Pennsylvania Parkway Suite 200, Indianapolis, IN 46280-2301 2006-05-31
1407859051 Daniel C Eby Orthopaedic Surgery 600 W. 13th St, Suite 200, Jasper, IN 47546-1883 2005-05-27
1639782907 Jenna Renee Sparks Orthopaedic Surgery 1801 N Senate Blvd Ste 400, Indianapolis, IN 46202-1245 2020-08-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City ELKHART
Zip Code 46514

Improve Information

Please comment or provide details below to improve the information on DR. WILLIS W STEVENSON III.

Dataset Information

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.

Trending Searches