MEDICARE: DR. JAMES TREVOR STEFANSKI M.D.

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	207X00000X	Orthopaedic Surgery Physician	52028	KY
2	207X00000X	Orthopaedic Surgery Physician	35.135175	OH

General Provider Information

NPI Number	:	1093135907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES TREVOR STEFANSKI M.D.

Provider Business Mailing Address
First Line	:	4625 RED BANK RD STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-1528
Country	:	US
Telephone Number	:	513-525-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	4625 RED BANK RD STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-1528
Country	:	US
Telephone Number	:	513-525-1234
Fax Number	:

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

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	02/16/2026

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