Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245326065 Individual Practitioner Male Practitioner

Dr. Kenneth Edward Stevenson , MD

Pediatrics • Ogden, UT

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Stevenson, MD is a certified Pediatrics practicing in Ogden, UT. With approximately 31 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1995, Dr. Stevenson delivers high-quality medical care to the local community at 5405 S 500 E STE 205.

Dr. Stevenson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5405 S 500 E Ste 205

Ogden, UT 844057420

Telephone 8014790174
Fax 8014798888
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1995

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ogden, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +5.7 yrs vs City Avg
City Avg: 25.3 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
26 Specialists

Practicing in Ogden, UT (688 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

Clinical Seniority & Experience Comparison

Dr. Stevenson (31 Years) 31 Yrs
Ogden Specialty Average (25.3 Years) 25.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-04-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 378676-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1245326065 (UT)

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1023288511

Doctor of Medicine (M.D.)

Jan Castro , PA-C

Physician Assistant - Medical

NPI 1235335944

Physician Assistant (Certified)

Kim Webb , CPNP

Nurse Practitioner

NPI 1396956215

Certified Pediatric Nurse Practitioner

David Castro , PA-C

Physician Assistant - Medical

NPI 1427254135

Physician Assistant (Certified)

NPI 1447359039

Doctor of Medicine (M.D.)

NPI 1932307204

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 19, 2023

Registered at 5405 S 500 E STE 205, OGDEN, UT 844057420 (Tel: 8014790174)

📍
Updated Business Mailing Address November 30, 2020

Registered at PO BOX 281721, ATLANTA, GA 303841721

NPI Profile Active August 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2008

Registered at 5495 S 500 E, STE 120, OGDEN, UT 844056923 (Tel: 8014790174)

📍
Updated Business Mailing Address August 19, 2008

Registered at 5495 S 500 E, STE 120, OGDEN, UT 844056923 (Tel: 8014790174)

👤
Provider Name / Credentials Updated August 19, 2008

Recorded as KENNETH STEVENSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2008

Pediatrics (License #378676-1205 in UT)

🟢
Initial NPI Registration & Enumeration October 05, 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: 1245326065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: April 19, 2023
Sole Proprietor: No

Mailing Address

Po Box 281721

Atlanta, GA 303841721

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.