NPI
Jeremy Shane Stevens
NPI 1306843446
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2005-07-05
- Last updated
- 2019-01-08
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Specialties
Licenses
- License MA
- 231357
- License IL
- 036-111903
Location
- Practice location
- 1004 Health Center Dr Ste 100
- City
- Mattoon IL
- Postal code
- 61938-9253
- Phone
- (217) 238-3435
- Fax
- (217) 238-3492
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Orthopedic Surgeons in Mattoon, IL. 9 with this primary taxonomy in the public file.
Other NPIs in Mattoon, IL. 921 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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