EDWARD T STEVENS MD SC
NPI 1962521716
Psychiatry & Neurology - Neurology in Kenosha, WI

Active since March 29, 2007
600 52ND STREET, SUITE 240, KENOSHA, WI 53140(262) 656-0006(262) 656-0005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward T Stevens Md Sc NPPES

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

EDWARD T STEVENS MD SC (NPI 1962521716) is a healthcare organization registered as a neurology in Kenosha, Wisconsin and active in the NPI registry since March 2007. The organization lists Edward Terrance Stevens, President, as its authorized official.

NPPES Registry Identity

NPI1962521716
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameEDWARD T STEVENS MD SC
Location Address600 52ND STREET, SUITE 240Kenosha, WI 53140-3423
Mailing Address600 52nd Street, Suite 240Kenosha, WI 53140-3423 · (262) 656-0006 · Fax (262) 656-0005
Fax(262) 656-0005
Organization SubpartNo
Authorized OfficialEdward Terrance StevensPresident · (262) 656-0006
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1962521716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WI · 22919020
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
600 52ND STREET, Kenosha, WI 53140

Other Identifiers 1

Medicaid30305400WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward T Stevens MD Sc's NPI number?

The NPI number for Edward T Stevens MD Sc is 1962521716. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Edward T Stevens MD Sc located?

Edward T Stevens MD Sc is located at 600 52nd Street Suite 240, Kenosha, WI 53140. The listed phone number is (262) 656-0006.

What is Edward T Stevens MD Sc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Edward T Stevens MD Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.