Individual
JOHN C STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, ROC 4270, INDIANAPOLIS, IN 46202-5109
(317) 274-7208
(317) 274-3442
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
01030272
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354898
ANTHEM-DEAC-350593390
—
05
—
100227810
—
IN
05
—
1053404947
—
MI
05
—
1801852
—
LA
01
—
350593390
UPA-237328642
—
01
—
350593390-042
TRICARE-DEAC-350593390
—
05
—
64880370
—
KY
Enumeration date
10/02/2006
Last updated
02/06/2026
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