JOHN B STEVENS PA
NPI 1780668103
Physician Assistant in Cortland, NY

Q: What is John Stevens's NPI number?

The NPI number for John Stevens is 1780668103. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is John Stevens's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Stevens was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2005

4038 WEST RD, CORTLAND, NY 13045(607) 758-3008(607) 758-7032 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2022, Mar 22, 2021, Dec 15, 2017 (3 updates tracked since 2017).

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About John B Stevens Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN B STEVENS PA (NPI 1780668103) is an individual physician assistant in Cortland, New York, licensed in New York (000666) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1780668103

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOHN B STEVENSCredential: PA

Location Address4038 WEST RDCortland, NY 13045-1842

Mailing Address85 South West StreetHomer, NY 13077 · (607) 753-3797 · Fax (607) 753-6677

Phone(607) 758-3008

Fax(607) 758-7032

Sole ProprietorNo

Enumeration DateNovember 30, 2005

Last NPPES UpdateApril 28, 20223 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1780668103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 000666

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4038 WEST RD, Cortland, NY 13045

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Other Identifiers 1

Medicaid01295894NY

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN M ATWATER NP

Nurse Practitioner (Family)