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NPI Code Detail

MEDICARE: DR. STEPHEN MICHAEL LEVINE DPM

MEDICARE: DR. STEPHEN MICHAEL LEVINE DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristPO3081FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275572943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN MICHAEL LEVINE DPM
Provider Business Mailing Address
First Line : 1850 W REPUBLIC RD
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5730
Country : US
Telephone Number : 305-720-8423
Fax Number : 417-891-4912
Provider Business Practice Location Address
First Line : 1850 W REPUBLIC RD
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5730
Country : US
Telephone Number : 417-891-4800
Fax Number : 417-891-4912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 09/21/2023

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