Organization
SHERIDAN S. H .STEVENS M.D., FACS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIDAN S. H. STEVENS M.D. (PRESIDENT)
(816) 554-6500
Entity
Organization
Contact information
Practice address
3600 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2369
(816) 554-6500
(816) 554-6503
Mailing address
3600 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2369
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
107199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-00057
UNITED HEALTHCARE
MO
01
—
21480019
BLUE CROSS BLUE SHIELD
MO
01
—
33802
HEALTH CARE USA
MO
01
—
5818033
AETNA
MO
01
—
7013
COVENTRY
MO
01
—
7303198
CIGNA
MO
Enumeration date
04/11/2008
Last updated
04/11/2008
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