Stephen Stephenson (NPI# 1376561613, PAC ID# 3274518253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1376561613 |
| PAC ID by PECOS | 3274518253 |
| Professional Enrollment ID | I20040623000476 |
| Full Name | Stephen Stephenson |
| Organization Legal Name | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| Address |
300 Billingsley Rd Suite 200 Charlotte NC 28211-1084 |
| Phone Number | 7043727974 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 1951209790 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340130 | CAROLINAS HEALTHCARE SYSTEM UNION |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340084 | CAROLINAS HEALTH CARE SYSTEM ANSON |
| 340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 | 7043727974 | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| Organization Legal Name | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Preston P Purdum Iii | Gastroenterology | Carolina Digestive Health Associates, Pa | 1105 Spruce St, Suite 101, Belmont, NC 28012-4228 |
| Justin L Fletcher | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Olanrewaju Yusuf Jimoh | Gastroenterology | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Lisa Y Kimmerle | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Dustin M Souther | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Tarun Narang | Gastroenterology | Carolina Digestive Health Associates, Pa | 10620 Park Rd, Suite 102, Charlotte, NC 28210-0106 |
| Glen L Portwood | Internal Medicine | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Fred C Fowler | Gastroenterology | Carolina Digestive Health Associates, Pa | 1085 Negateway Nect, Suite 280, Concord, NC 28025-2412 |
| Betsy Anne Wolfe | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Dana J Courtney | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Street Address |
300 BILLINGSLEY RD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28211-1084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn Michelle Wolkofsky | Physician Assistant | Charlotte Neuroscience Foundation | 300 Billingsley Rd, Suite 108, Charlotte, NC 28211-3091 |
| Justin L Fletcher | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Olanrewaju Yusuf Jimoh | Gastroenterology | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Lisa Y Kimmerle | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Dustin M Souther | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Glen L Portwood | Internal Medicine | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Sanjay Shyam Iyer | Neurology | Charlotte Neuroscience Foundation | 300 Billingsley Rd, Suite 108, Charlotte, NC 28211-3091 |
| Betsy Anne Wolfe | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Dana J Courtney | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Brittany M Sloan | Nurse Practitioner | Legacy Heart Care of Charlotte, LLC | 300 Billingsley Rd, Suite 101, Charlotte, NC 28211-1084 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camilla Bird | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Kelli Martia Keys | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Meg Shannon Sullivan | Family Medicine | 249 Billingsley Rd, Charlotte, NC 28211-1003 | |
| Lena K White | Family Practice | Mecklenburg County | 249 Billingsley Rd, Charlotte, NC 28211-1003 |
| Jeanmarie M Roberts | Nurse Practitioner | Anuvia Prevention and Recovery, Center, Inc | 429 Billingsley Rd, Charlotte, NC 28211-1007 |
| Hristos C Karanikas | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Amanda H Goodwin | Clinical Social Worker | Carolinas Medical Center | 501 Billingsley Rd B, Charlotte, NC 28211-1009 |
| Rodney A Villanueva | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd A, Charlotte, NC 28211-1009 |
| Walter Carlton Gay Iii | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Rebecca Devonne Silver | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Find all physicians in zip 28211 | |||
| City | CHARLOTTE |
| Zip Code | 28211 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CHARLOTTE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Stephen Stephenson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.