SHATA LIAM STEPHENSON II
NPI 1619764461
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
- Individual
- Male
- Student in an Organized Health Care Educ...
About SHATA STEPHENSON
This page provides the complete NPI Profile along with additional information for Shata Stephenson, a primary care provider established in Philadelphia, Pennsylvania with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1619764461 assigned on April 2025. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1619764461 Verify this NPI
- Provider Name
- SHATA LIAM STEPHENSON II
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 240 S 40TH ST PHILADELPHIA, PA 19104
- Location Phone
- (215) 898-8965
- Mailing Address
- 3319 HUNTER BLVD S SEATTLE, WA 98144
- Mailing Phone
- (206) 612-1569
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-24-2025
- Last Update Date
- 04-26-2025
- Code Navigator
A primary care provider (PCP) like Shata Stephenson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of 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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619764461, enumerated as an "individual" on April 24, 2025.
The provider is located at 240 S 40TH ST PHILADELPHIA, PA 19104 and the phone number is (215) 898-8965.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
