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Richard T Stevens, MD

Family Medicine in Providence, UT. Individual provider (NPI-1).

NPI number1790739449
StatusActive
Last updated in NPPESJun 10, 2024

Details

NPI
1790739449
Entity type
Individual (NPI-1)
Name
Richard T Stevens
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2006
Certification date
Jun 10, 2024
Last updated
Jun 10, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine6128327-1205UTYes

Practice location

382 W 280 N
Providence, UT 84332-9118

Phone 435-752-0330 · Fax 435-755-0922

Mailing address

Po Box 5546
Denver, CO 80217-5546

Phone 801-475-3500 · Fax 801-475-3489

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Providence, UT

All 12 Family Medicine Physician providers in Providence · All 343 providers in Providence

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