Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265411979 Individual Practitioner Male Practitioner

Dr. Jacob T Stephenson , MD

Surgery - Pediatric Surgery • Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Stephenson, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Houston, TX. Practice services are available at 1102 BATES AVE # FC1440 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1102 Bates Ave # Fc1440

Houston, TX 770302698

Telephone 8328283660
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Houston, TX (129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-07
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License TX U5819

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX U5819

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License CA 92264

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
NPI 1013414895

Doctor of Medicine (M.D.)

Nevin George , PA-C

Physician Assistant

NPI 1013696178

Physician Assistant (Certified)

Desiree Palmer , ARNP

Nurse Practitioner - Pediatrics

NPI 1043987514

Advanced Registered Nurse Practitioner

Kimberly Olivarez

Nurse Anesthetist, Certified Registered

NPI 1073975504
Leanne Buffaloe , MSN, APRN, CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1093359523

Master of Science in Nursing, Advanced Practice Registered Nurse, CPNPAC

Taylor Sheneman , PA-C

Physician Assistant - Medical

NPI 1154916039

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 07, 2024

Registered at 1102 BATES AVE # FC1440, HOUSTON, TX 770302698 (Tel: 8328283660)

📍
Updated Business Mailing Address January 07, 2024

Registered at 1102 BATES AVE # FC1440, HOUSTON, TX 770302698 (Tel: 8328283660)

📍
Updated Practice Location July 24, 2023

Registered at 333 N SANTA ROSA, SAN ANTONIO, TX 782073108 (Tel: 2107043030)

📍
Updated Business Mailing Address July 24, 2023

Registered at 315 N SAN SABA STE 1135, SAN ANTONIO, TX 782073255 (Tel: 2107044275)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Surgery (License #U5819 in TX)

📍
Updated Practice Location February 04, 2022

Registered at BUILDING 922, 48TH MDG, RAF LAKENHEATH, APO, AE 094640030 (Tel: 9167343510)

📍
Updated Business Mailing Address February 04, 2022

Registered at PSC 41 BOX 2934, APO, AE 094640030

NPI Profile Active November 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2015

Registered at 2221 STOCKTON BLVD, DEPT OF SURGERY, CYPRESS BLDG ROOM 3104, SACRAMENTO, CA 95817 (Tel: 9167343510)

📍
Updated Business Mailing Address November 13, 2015

Registered at 2221 STOCKTON BLVD, DEPT OF SURGERY, CYPRESS BLDG ROOM 3104, SACRAMENTO, CA 95817 (Tel: 9167343510)

👤
Provider Name / Credentials Updated November 13, 2015

Recorded as JACOB STEPHENSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2015

Surgery (License #92264 in CA)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265411979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: January 07, 2024
Sole Proprietor: No

Mailing Address

1102 Bates Ave # Fc1440

Houston, TX 770302698

Phone: 8328283660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.