MEDICARE: JAMES E STEPHENSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD424498	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P002838484	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	50072527	OTHER	BLUE CROSS
2	001614023	OTHER	BLUE SHIELD
3	7692255	OTHER	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386680361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E STEPHENSON MD

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-859-1123
Fax Number	:	717-859-2898

Provider Business Practice Location Address
First Line	:	4131A OREGON PIKE
Second Line	:
City	:	EPHRATA
State	:	PA
Zip	:	17522-9550
Country	:	US
Telephone Number	:	717-859-1123
Fax Number	:	717-859-2898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	06/07/2021

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Directions to “ JAMES E STEPHENSON MD” Practice Location

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