Individual
DR. DONALD CHARLES STEPHENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 630-2173
Mailing address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 630-2173
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
3628
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
3628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000171260
UNISON
—
01
—
000000354882
ANTHEM
OH
01
—
204862812
UNITED HEALTHCARE
OH
05
—
2348372
—
OH
01
—
340976110DS
SUMMA
OH
01
—
341572960031
CARESOURCE
—
01
—
730481
BUCKEYE
OH
01
—
7949318
AETNA PPO
OH
01
—
P00191478
RAILROAD MEDICARE
OH
Enumeration date
05/26/2005
Last updated
03/19/2019
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