Rodrick Albert Stevenson in Williamsport - Surgery
Rodrick Albert Stevenson - NPI 1689642340
Rodrick Albert Stevenson is a Surgery in Williamsport, Pennsylvania. Rodrick Albert Stevenson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Rodrick Albert Stevenson is 1689642340. The last update date is 2007-11-30.
Rodrick Albert Stevenson's current location address is 699 Rural Ave, Williamsport, Pennsylvania. You can contact this provider via phone number 5703213180 and fax number 5703213181. The mailing address for Rodrick Albert Stevenson is 699 Rural Ave, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodrick Albert Stevenson |
|---|---|
| Address | 699 Rural Ave, Williamsport, Pennsylvania |
| Phone Number | 5703213180 |
| Fax Number | 5703213181 |
| Sole Proprietor | N |
| Credentials | MD, FACS |
NPI Number Detail
| NPI Number | 1689642340 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 699 Rural Ave |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177013246 |
| Phone Number | 5703213180 |
| Fax Number | 5703213181 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD047042L |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5166004 | PA | AETNA | |
| 17727370011 | PA | -- | |
| 698487 | PA | HIGHMARK BLUE SHIELD | |
| 1276362 | PA | UNITEDHEALTHCARE | |
| 819135 | PA | FIRST PRIORITY HEALTH | |
| F91721 | PA | HEALTHAMERICA |
Post Comment/ Review Below
What is the Rodrick Albert Stevenson's unique identification number?
The Rodrick Albert Stevenson has been assigned the NPI (National Provider Identifier) Number 1689642340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Rodrick Albert Stevenson's facilities are situated?
The facilities of Rodrick Albert Stevenson are physically located at the following address: 699 Rural Ave, Williamsport, PA, 177013246.
What is the Rodrick Albert Stevenson's specialty and taxonomy code?
The Rodrick Albert Stevenson's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Rodrick Albert Stevenson receive its 1689642340 assignment from the Centers for Medicare & Medicaid Services?
The Rodrick Albert Stevenson was assigned its 1689642340 by the Centers for Medicare & Medicaid Services on 2006-03-09.
As of what date were the details pertaining to Rodrick Albert Stevenson last refreshed?
The information related to the Rodrick Albert Stevenson, including its address, specialty, and other relevant details, was last updated on 2007-11-30.