Randy Ray Stevens in Harrisburg - Prosthetic/orthotic Supplier
Randy Ray Stevens - NPI 1487675203
Randy Ray Stevens is a Prosthetic/orthotic Supplier in Harrisburg, Pennsylvania. Randy Ray Stevens practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Randy Ray Stevens is 1487675203. The last update date is 2023-08-25.
Randy Ray Stevens's current location address is 845 Sir Thomas Ct Ste D, Harrisburg, Pennsylvania. You can contact this provider via phone number 7175611453. The mailing address for Randy Ray Stevens is 845 Sir Thomas Ct Ste D, Harrisburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randy Ray Stevens |
|---|---|
| Address | 845 Sir Thomas Ct Ste D, Harrisburg, Pennsylvania |
| Phone Number | 7175611453 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stevens Ray Randy |
| Telephone Number | 7175611453 |
NPI Number Detail
| NPI Number | 1487675203 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2023-08-25 |
Provider Mailing Address Detail
| Address | 845 Sir Thomas Ct Ste D |
|---|---|
| City | Harrisburg |
| State | Pennsylvania (PA) |
| Post Code | 171094840 |
| Phone Number | 7175611453 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7524777 | PA | AETNA | |
| 419111 | PA | HEALTHASSURANCE | |
| 20050085 | PA | AMERIHEALTH | |
| 1814385 | PA | BCBS OF PA |
Post Comment/ Review Below
What is the unique identifier code issued to Randy Ray Stevens by the Centers for Medicare & Medicaid Services?
The Randy Ray Stevens has been assigned the NPI (National Provider Identifier) 1487675203. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randy Ray Stevens's physical address?
The Randy Ray Stevens is physically located at 845 Sir Thomas Ct Ste D, in the city of Harrisburg, PA, with the postal code 171094840.
What is Randy Ray Stevens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randy Ray Stevens is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487675203 to Randy Ray Stevens?
The Randy Ray Stevens received its 1487675203 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information related to Randy Ray Stevens most recently updated or refreshed?
The details pertaining to the Randy Ray Stevens, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-25.
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