DR. CHARLES STEVENS M.D. NPI 1003001363

Anesthesiology (Pain Medicine) in El Centro, CA

About CHARLES STEVENS

Charles Stevens is a provider in El Centro, CA with more than 16 years of experience. The NPI number assigned to this provider is 1003001363. The practitioner's primary taxonomy code is Anesthesiology (207LP2900X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Charles Stevens is registered with Medicare and accepts claims assignment.

NPI	1003001363 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	DR. CHARLES STEVENS M.D.
Provider Location Address	1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Male
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year	2003
Is Sole Proprietor?	Yes
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-10-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	02-06-2013 Last update date The date that a record was last updated or changed.

Business Address

DR. CHARLES STEVENS M.D.
1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166

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Mailing Address

DR. CHARLES STEVENS M.D.
1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166

Primary Taxonomy

Taxonomy Code	207LP2900X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Anesthesiology
Type	Allopathic & Osteopathic Physicians
Specialization	Pain Medicine
License No.	A104563
License State	CA
Taxonomy Description	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Medicare Participation

Registered in PECOS?	Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID	446319719
PECOS Enrollment ID	I20081103000096, I20120216000149
Accepts Medicare Assignment?	Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name	CMS Certification Number (CCN)
EL CENTRO REGIONAL MEDICAL CENTER	050045

Secondary Taxonomies

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No.	Taxonomy Code	Type	Classification	Specialization	License No.	State	Primary
1	207LP2900X	Allopathic & Osteopathic Physicians	Anesthesiology	Pain Medicine	036.118504	IL	No
1	Taxonomy Description: an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
ASO41Z	MEDICARE PIN (08)	CA
7096338	MEDICAID (05)	CA

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