John B Stevens in Cortland - Physician Assistant
John B Stevens - NPI 1780668103
John B Stevens is a Physician Assistant in Cortland, New York. John B Stevens practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John B Stevens is 1780668103. The last update date is 2022-04-28.
John B Stevens's current location address is 4038 West Rd, Cortland, New York. You can contact this provider via phone number 6077583008 and fax number 6077587032. The mailing address for John B Stevens is 4038 West Rd, Cortland, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John B Stevens |
|---|---|
| Address | 4038 West Rd, Cortland, New York |
| Phone Number | 6077583008 |
| Fax Number | 6077587032 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1780668103 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
| Address | 4038 West Rd |
|---|---|
| City | Cortland |
| State | New York (NY) |
| Post Code | 130451842 |
| Phone Number | 6077583008 |
| Fax Number | 6077587032 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 666 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295894 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John B Stevens?
The John B Stevens has been issued the NPI (National Provider Identifier) 1780668103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where John B Stevens is geographically located?
The John B Stevens is physically situated at the following location: 4038 West Rd, Cortland, NY, 130451842.
What is John B Stevens's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John B Stevens's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780668103 to John B Stevens?
The Centers for Medicare & Medicaid Services originally issued the 1780668103 to John B Stevens on 2005-11-30.
When was the information pertaining to John B Stevens most recently updated or revised?
The details related to John B Stevens, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-28.