Individual
DOUGLAS P STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5105
(502) 287-6964
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5105
(502) 287-6964
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048654
ANTHEM
KY
01
—
000000694447
ANTHEM-NORTON REHAB
KY
01
—
000057094L
HUMANA- NORTON REHAB
KY
01
—
004333
SIHO-NORTON REHAB
KY
01
—
1050653
PASSPORT
KY
01
—
1404235
CIGNA-NORTON REHAB
KY
05
—
200024170
—
IN
01
—
2432934000
PASSPORT ADVANTAGE
KY
01
—
50031672
PASSPORT-NORTON REHAB
KY
01
—
61-1086535
TAX ID
KY
05
—
64262017
—
KY
01
—
M400053478
MEDICARE PTAN- NORTON REHAB.
IN
01
—
P00912405
RR MEDICARE PTAN-NORTON REHAB
KY
01
—
P400040042
KY MEDICARE-NORTON REHAB
KY
Enumeration date
02/14/2006
Last updated
03/17/2014
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