| Doctor Name: | THAD A STEPHENS |
| NPI Number: | 1053310938 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD102147 |
| Business Practice Address: | 4801 College Blvd Leawood, KS - 662111628 |
| Business Phone Number: | 9139562250 |
| Business Fax Number: | 9139562251 |
| Mailing Address: | 8929 Parallel Pkwy, Attn: Pmg Physician Credentialing Kathleen KANSAS CITY |
| State: | KS |
| Postal Code: | 661121689 |
| Phone Number: | 9135963893 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | MD102147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |