Physician Compare National (NPI:1932152428)

HEALTHCARE PROVIDER: STEEN JOHNSEN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932152428
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961390646
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060804000080
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOHNSEN
	Individual professional last name
Provider First Name	STANLEY
	Individual professional first name
Provider Middle Name	D. STEEN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TOCA AT BANNER HEALTH LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3072934777
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	24
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9377 E BELL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 231
	Group Practice or individual's line 2 address
City	SCOTTSDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852601503
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6023131549
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y