MEDICARE: SCOTT J STEPHAN 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	207Y00000X	Otolaryngology Physician	47559	TN
2	207YP0228X	Pediatric Otolaryngology Physician	47559	TN
3	207YS0123X	Facial Plastic Surgery Physician	47559	TN

General Provider Information

NPI Number	:	1841403482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT J STEPHAN MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:	615-936-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S
Second Line	:	6310 MEDICAL CENTER EAST SOUTH TOWER
City	:	NASHVILLE
State	:	TN
Zip	:	37232-8605
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	01/31/2025

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